Organization · Type 2 NPI
St. Luke's Treasure Valley Pediatrics
Primary Care Clinic/Center · Eagle, ID
NPI number
1396121349
Active
Practice location
450 W State St Ste 100
Eagle, ID 83616-7055
Fax (208) 939-8970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Eagle
About NPI 1396121349
St. Luke's Treasure Valley Pediatrics's National Provider Identifier is 1396121349, issued on Jul 31, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Eagle, ID. The record was last updated on Jul 31, 2015.