Provider First Line Business Practice Location Address:
400 E IDAHO ST #400
Provider Second Line Business Practice Location Address:
ST. LUKE'S CLINIC - THE WOMAN'S CLINIC
Provider Business Practice Location Address City Name:
BOISE
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-345-5250
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2012