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 | |
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Address | 2855 E Magic View Dr, Meridian, Idaho |
Phone Number | 2086394900 |
Fax Number | 2086394901 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1164474664 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 2855 E Magic View Dr |
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City | Meridian |
State | Idaho (ID) |
Post Code | 836426245 |
Phone Number | 2086394900 |
Fax Number | 2086394901 |
Provider's Primary Taxonomy Detail
Speciality | Urology |
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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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