institution
St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery Of Idaho
Pediatric Surgery Physician in Boise, Idaho
NPI 1720204738

St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery Of Idaho is a Pediatric Surgery Physician based in Boise, ID and is specialized in Pediatric Surgery. St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery Of Idaho practices in Boise, ID. The NPI Number for St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery Of Idaho is 1720204738 and holds a License No. (Idaho).

The current practice location address for St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery Of Idaho is 100 E Idaho St, Boise, ID and can be reached out via phone at 208-345-5400 and via fax at 208-345-5454.

Location: 100 E Idaho St, Boise, ID, 83712-6223
institution
Provider Profile Details
NPI Number
1720204738
Provider Name
St Lukes Regional Med Ctr Dba St Lukes Pediatric Surgery Of Idaho
Credential
Provider Entity Type
Organization
Address
100 E Idaho St, Boise, ID, 83712-6223
Phone Number
208-345-5400
Fax Number
208-345-5454
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 E Idaho St
City
State
Zip
83712-6223
Phone Number
208-345-5400
Fax Number
208-345-5454
person
Provider Business Mailing Address Details
Address
100 E Idaho St
City
State
Zip
83712-6223
Phone Number
208-345-5400
Fax Number
208-345-5454
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
()
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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