IDAHO UROLOGIC INSTITUTE PA NPI 1689620692

NPI Information

IDAHO UROLOGIC INSTITUTE PA is an urology in Meridian, ID. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. IDAHO UROLOGIC INSTITUTE PA NPI is 1689620692. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2855 E MAGIC VIEW DR
MERIDIAN, ID
ZIP 83642-245
Phone: (208) 639-4900
Fax: (208) 639-4939

The provider's authorized official is Todd Waldamann .
The authorized official title is Manager and has the following contact phone number (208) 343-7736.

The CLIA number assigned to this NPI record is 13D0977077 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 2/22/2021.

Taxonomy Codes

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Other Identifiers

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