Luke Sugden, DO
Family Medicine in Twin Falls, ID. Individual provider (NPI-1).
NPI number1760972780
StatusActive
Last updated in NPPESMay 23, 2022
Details
- NPI
- 1760972780
- Entity type
- Individual (NPI-1)
- Name
- Luke Sugden
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2018
- Certification date
- May 23, 2022
- Last updated
- May 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | O-1319 | ID | Yes |
| 207Q00000X | Family Medicine | 96914 | MT | |
| 207Q00000X | Family Medicine | MRO-1730 | ID |
Practice location
738 N College Rd Ste CTwin Falls, ID 83301-3387
Phone 208-814-5075
Mailing address
190 E Bannock StBoise, ID 83712-6241
Other practice locations
123 S 27th St
Billings, MT 59101-4227
Billings, MT 59101-4227
Phone 406-247-3350 · Fax 064-247-3389
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