Organization · Type 2 NPI

ST Lukes Clinic - Wood River LLC

Internal Medicine Physician · Ketchum, ID

NPI number 1972891604 Active

Practice location

100 Hospital Drive
Ketchum, ID 83340-9999

Call (208) 727-8100 Map

Mailing address

PO Box 640
Boise, ID 83701-0640

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X62 (ID)
Emergency Medicine Physician 207P00000X62 (ID)
Family Medicine Physician 207Q00000X62 (ID)
Internal Medicine Physician Primary 207R00000X62 (ID)
Obstetrics & Gynecology Physician 207V00000X62 (ID)
Orthopaedic Surgery Physician 207X00000X62 (ID)
Urology Physician 208800000X62 (ID)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

27 other providers at this address

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About NPI 1972891604

ST Lukes Clinic - Wood River LLC's National Provider Identifier is 1972891604, issued on Jul 15, 2011. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Ketchum, ID. The record was last updated on Apr 23, 2026.