in Meridian - Urology

- NPI 1164474664

is a Urology in Meridian, Idaho. practices all healthcare services and medical treatments related to Urology. The NPI Number for is 1164474664. The last update date is .

's current location address is 2855 E Magic View Dr, Meridian, Idaho. You can contact this provider via phone number 2086394900 and fax number 2086394901. The mailing address for is 2855 E Magic View Dr, Meridian, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 2855 E Magic View Dr, Meridian, Idaho
Phone Number 2086394900
Fax Number 2086394901
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1164474664
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 2855 E Magic View Dr
City Meridian
State Idaho (ID)
Post Code 836426245
Phone Number 2086394900
Fax Number 2086394901

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No M-9365
Definition:
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 acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10151601 ID BLUE SHILED MERIDIAN
807223100 ID --
P00273320 ID RAILROAD MEDICARE
10151600 ID BLUE SHIELD BOISE
75614 ID BLUE CROSS BOISE
B5601 ID BLUE CROSS MERIDIAN

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