NPI 1003295452
St Lukes Regional Medical Center
Practice location
- Address
- 1226 W River St, Boise, ID 83702-7049
- Phone
- (208) 331-1155
- Mailing address
- 190 E Bannock St, Boise, ID 83712-6241
Authorised official
- Name
- Jeff Taylor
- Title
- Sr Vice President and Cfo
- Phone
- (208) 381-2520
Registered specialties (2)
Diabetes Educator Registered Nurse
Primary
Registered Dietitian
Registry record
- NPI
- 1003295452
- Entity type
- Organization
- NPI issued
- 19 May 2015
- Record last updated
- 22 Jun 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.