NPI 1306984729

St Luke's Humphreys Diabetes Center INC

Organisation Registered Dietitian Boise, ID

Practice location

Address: 1226 W River St, Boise, ID 83702-7049
Phone: (208) 331-1155
Fax: (208) 383-0190

Authorised official

Name: Robert Scanlon
Title: Executive Director
Phone: (208) 331-1155

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Idaho →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 4366980001 (ID)

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Registry record

NPI: 1306984729
Entity type: Organization
NPI issued: 1 Feb 2007
Record last updated: 28 Jul 2011

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.