Organization · Type 2 NPI
ST Lukes Regional Med CTR dba ST Lukes Pediatric Surgery of Idaho
Pediatric Surgery Physician · Boise, ID
NPI number
1720204738
Active
Practice location
100 E Idaho St, Suite 300
Boise, ID 83712-6223
Fax (208) 345-5454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Surgery Physician Primary | 2086S0120X | None listed |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
188 other providers at this address
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Other pediatric surgery physician providers in Boise
About NPI 1720204738
ST Lukes Regional Med CTR dba ST Lukes Pediatric Surgery of Idaho's National Provider Identifier is 1720204738, issued on Apr 18, 2007. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Boise, ID. The record was last updated on Apr 9, 2008.