OrganizationActive
St Lukes Regional Medical Center
NPI 1972627628 · Developmental - Behavioral Pediatrics Physician · Boise, ID
Provider details
- NPI number
- 1972627628
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Hirschfeld, Administrator(208) 381-2818
- License
- 03 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 E Idaho St
Ste 200
Boise, ID 83712-6223
Phone: (208) 381-7312
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 550
Boise, ID 83701-0550
Other names (DBA / former)
- Doing business as
- St Lukes Developmental Pediatrics
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.