Dr RICKY J AXTELL is a male medical professional, specializing in Family Medicine. He graduated in 2004 from University Of Washington School Of Medicine.
ST LUKES CLINIC-TREASURE VALLEY LLC
608 W HAYS ST
BOISE
ID
837025511
Tel: 2083815970
| Npi | 1548482771 |
| Pac Id | 2264533843 |
| Professional Enrollment Id | I20101014000932 |
| Last Name | AXTELL |
| First Name | RICKY |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Group Practice Pac Id | 4981878402 |
| Number Of Group Practice Members | 746 |
| Line 1 Street Address | 608 W HAYS ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | BOISE |
| State | ID |
| Zip Code | 837025511 |
| Phone Number | 2083815970 |
| Hospital Affiliation Ccn 1 | 130006 |
| Hospital Affiliation Lbn 1 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130007 |
| Hospital Affiliation Lbn 2 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 130071 |
| Hospital Affiliation Lbn 3 | ST LUKE'S NAMPA MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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