Urology Center of Idaho Pllc

NPI #1962790964 in Pocatello, Idaho

Provider Information

NPI Number: 1962790964
Entity Type: Organization
Organization Name: Urology Center of Idaho Pllc
Primary Specialty: Urology
Enumeration Date: Jul 12, 2011
Last Updated: Sep 20, 2011

Practice Location

Address: 500 S 11TH AVE
Address 2: SUITE 301
City: Pocatello
State: Idaho
ZIP Code: 83201-4835
Phone: (208) 233-3355

Authorized Official

Name: BJORN SAUERWEIN, M.D.
Title: PHYSICIAN/OWNER
Phone: (208) 233-3355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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