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NPI Profile for ST LUKES REGIONAL MEDICAL CENTER in BOISE, ID.
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Gastroenterology |
2080P0206X | 37 | Physician/Pediatric Medicine |
| NPI # | 1801197082 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/04/2010 | |
| Last updated | 11/04/2010 - About 16 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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ST LUKE'S REGIONAL MEDICAL CENTER
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ST LUKE'S REGIONAL MEDICAL CENTER