| St. Luke's Treasure Valley Pediatrics | |
|
450 W State St Ste 100 Eagle ID 83616-7055 | |
| (208) 939-1035 | |
| (208) 939-8970 |
| Full Name | St. Luke's Treasure Valley Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 450 W State St Ste 100, Eagle, Idaho |
| Authorized Official Name and Position | Alisha Lauren Miller (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 2089391035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Treasure Valley Pediatrics 450 W State St Ste 100 Eagle ID 83616-7055 Ph: (208) 939-1035 | St. Luke's Treasure Valley Pediatrics 450 W State St Ste 100 Eagle ID 83616-7055 Ph: (208) 939-1035 |
| NPI Number | 1396121349 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 07/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396121349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
Eagle Creek Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1281 E. Iron Eagle Dr, Eagle, ID 83616 Phone: 208-939-5535 Fax: 208-939-5536 |
Primary Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1895 Mcgrath Rd, Eagle, ID 83616 Phone: 208-939-8200 Fax: 208-939-8222 |
Enhanced Aesthetics and Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 367 S Academy Ln, Eagle, ID 83616 Phone: 985-778-7582 |
Family & Functional Medicine of Idaho PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 W State St, Suite 250, Eagle, ID 83616 Phone: 208-947-0925 Fax: 208-947-0926 |
Linda D Burke MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 S. Fitness Place, Eagle, ID 83616 Phone: 208-939-2332 Fax: 208-939-7676 |
Summit Medical Providers LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 E Riverside Dr, Eagle, ID 83616 Phone: 801-867-9760 Fax: 801-880-4400 |