Organization · Type 2 NPI

ST Luke's Regional Medical Center

Endocrinology, Diabetes & Metabolism Physician · Boise, ID

NPI number 1801113329 Active

Practice location

403 S 11th St, Ste 100
Boise, ID 83702-6969

Call (208) 429-0300 Map

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

Taxonomy	Code	License
Endocrinology, Diabetes & Metabolism Physician Primary	207RE0101X	03 (ID)

Endocrinology, Diabetes & Metabolism Physician: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

15 other providers at this address

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NPI record

NPI: 1801113329
Entity type: Organization (Type 2)
Issued: Apr 23, 2010
Last updated: Apr 23, 2010
Status: Active
Subpart: Yes of St. Luke's Regional Medical Center

Other names

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ST Luke's Idaho Endocrinology · doing business as

Authorized official

John Kee
VP Physician Services
(208) 381-5329

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801113329

ST Luke's Regional Medical Center's National Provider Identifier is 1801113329, issued on Apr 23, 2010. The primary taxonomy on file is Endocrinology, Diabetes & Metabolism Physician (207RE0101X), and the practice location is in Boise, ID. The record was last updated on Apr 23, 2010.