St Lukes Mountain View Medical Center | |
3301 N Sawgrass Way Boise ID 83704-4493 | |
(208) 375-0862 | |
Not Available |
Full Name | St Lukes Mountain View Medical Center |
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Speciality | Family Medicine |
Location | 3301 N Sawgrass Way, Boise, Idaho |
Authorized Official Name and Position | Sandy Stevenson (MANAGER) |
Authorized Official Contact | 2083750862 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Lukes Mountain View Medical Center 3301 N Sawgrass Way Boise ID 83704-4493 Ph: (208) 375-0862 | St Lukes Mountain View Medical Center 3301 N Sawgrass Way Boise ID 83704-4493 Ph: (208) 375-0862 |
NPI Number | 1063660645 |
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Provider Enumeration Date | 09/08/2008 |
Last Update Date | 09/08/2008 |
Identifier | Type | State | Issuer |
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1063660645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 03 (Idaho) | Primary |
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