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TREASURE VALLEY UROLOGY PLLC NPI 1699242123


NPI Information

NPI: 1699242123
Provider Name: TREASURE VALLEY UROLOGY PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 13D2159390

Address:
3085 E MAGIC VIEW DR STE 140
MERIDIAN, ID
ZIP 83642
Phone: (208) 229-9009
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TREASURE VALLEY UROLOGY PLLC 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. TREASURE VALLEY UROLOGY PLLC NPI is 1699242123. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3085 E MAGIC VIEW DR STE 140
MERIDIAN, ID
ZIP 83642-745
Phone: (208) 229-9009
Fax: (208) 229-9010

The provider's authorized official is Jared G Heiner .
The authorized official title is Owner and has the following contact phone number (208) 229-9009.

The CLIA number assigned to this NPI record is 13D2159390 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/2/2018 and was last updated on 3/2/2022.


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
1208800000XUrologyYes

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: 4/28/2024

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