Organization · Type 2 NPI

ST Lukes Regional Medical Center

Surgery Physician · Meridian, ID

NPI number 1568731925 Active

Practice location

3399 E Louise Dr, Ste 400
Meridian, ID 83642-5047

Call (208) 364-3000 Map

Fax (208) 364-3191

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X03 (ID)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X03 (ID)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1568731925

ST Lukes Regional Medical Center's National Provider Identifier is 1568731925, issued on Dec 14, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Meridian, ID. The record was last updated on Dec 14, 2011.