Organization · Type 2 NPI

ST Luke's Regional Medical Center

Urology Physician · Meridian, ID

NPI number 1780793596 Active

Practice location

520 S Eagle Rd, Ste 3112
Meridian, ID 83642-6351

Mailing address

PO Box 640
Boise, ID 83701-0640

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X03 (ID)
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X03 (ID)
Pediatric Urology Physician 2088P0231X03 (ID)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

234 other providers at this address

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About NPI 1780793596

ST Luke's Regional Medical Center's National Provider Identifier is 1780793596, issued on Aug 29, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Meridian, ID. The record was last updated on Sep 30, 2016.