Organization · Type 2 NPI

ST Lukes Regional Medical Center

Family Medicine Physician · Boise, ID

NPI number 1710143672 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Mailing address

PO Box 550
Boise, ID 83701-0550

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X03 (ID)
Internal Medicine Physician 207R00000X03 (ID)
Pediatrics Physician 208000000X03 (ID)
Surgery Physician 208600000X03 (ID)
Urology Physician 208800000X03 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1710143672

ST Lukes Regional Medical Center's National Provider Identifier is 1710143672, issued on Jul 31, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Boise, ID. The record was last updated on Jul 31, 2008.