UROLOGY CENTER OF IDAHO PLLC
Organization (NPI-2)
Active
Urology
Provider Information
- NPI Number
1962790964- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 500 S 11TH AVE SUITE 301, POCATELLO, ID, 832014835
- Phone
- (208) 233-3355
- Fax
- (208) 232-6118
Specialties & Taxonomies
Urology
Primary License: ID #M9971