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CALDWELL UROLOGY P.L.L.C. NPI 1306804356


NPI Information

NPI: 1306804356
Provider Name: CALDWELL UROLOGY , P.L.L.C.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 13D0674117

Address:
1620 S KIMBALL AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 454-9181
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CALDWELL UROLOGY , P.L.L.C. is a specialist in Caldwell, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CALDWELL UROLOGY , P.L.L.C. NPI is 1306804356. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1620 S KIMBALL AVE
CALDWELL, ID
ZIP 83605-547
Phone: (208) 454-9181
Fax: (208) 454-6338

The provider's authorized official is Donald Stritzke .
The authorized official title is Owner and has the following contact phone number (208) 454-9181.

The CLIA number assigned to this NPI record is 13D0674117 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistM-5778IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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