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Doctors / ID
FAMILY PRACTICE
Medical school: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated: 2021
NPI: 1356916209
ST LUKES CLINIC LLC
132 5TH AVE W, SUITE 1/2
JEROME, ID 833381825
2088149800
Source: CMS National Downloadable File, September 2026.