ST Luke'S Regional Medical Center

Organization Active
NPI 1316243330
Pediatric Neurodevelopmental Disabilities Physician Boise, ID

ST Luke'S Regional Medical Center holds NPI 1316243330, with a primary taxonomy of pediatric neurodevelopmental disabilities physician and a practice location in Boise, ID. The number was issued on February 9, 2011 and the NPPES record was last updated on February 9, 2011. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2011. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Neurodevelopmental Disabilities Physician Primary 2080P0008X 03 (ID)
Clinical Child & Adolescent Psychologist 103TC2200X 03 (ID)

Practice location

100 E Idaho St
Ste 200
Boise, ID 83712-6267
Phone: (208) 381-5000

Local context

Active NPPES records list 1 provider with pediatric neurodevelopmental disabilities physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 3 in Idaho and 362 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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