| St Lukes Medical Clinic @ Hp | |
|
11311 W Chinden Blvd Boise ID 83714-1021 | |
| (208) 381-4120 | |
| Not Available |
| Full Name | St Lukes Medical Clinic @ Hp |
|---|---|
| Speciality | Family Medicine |
| Location | 11311 W Chinden Blvd, Boise, Idaho |
| Authorized Official Name and Position | Shanna Richter (MANAGER) |
| Authorized Official Contact | 2083814120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lukes Medical Clinic @ Hp Po Box 550 Boise ID 83701-0550 Ph: (208) 381-4120 | St Lukes Medical Clinic @ Hp 11311 W Chinden Blvd Boise ID 83714-1021 Ph: (208) 381-4120 |
| NPI Number | 1639356173 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639356173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 03 (Idaho) | Primary |
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