Organization · Type 2 NPI

ST Luke's Regional Medical Center

Cardiovascular Disease Physician · Boise, ID

NPI number 1659699841 Active

Practice location

333 N 1st St, Ste 280
Boise, ID 83702-6100

Mailing address

PO Box 640
Boise, ID 83701-0640

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X03 (ID)
Vascular Surgery Physician 2086S0129X03 (ID)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X03 (ID)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1659699841

ST Luke's Regional Medical Center's National Provider Identifier is 1659699841, issued on May 12, 2010. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Boise, ID. The record was last updated on Sep 30, 2016.