NPI 1962790964

Urology Center of Idaho PLLC

Organisation Urology Physician Pocatello, ID

Practice location

Address: 500 S 11th Ave Suite 301, Pocatello, ID 83201-4835
Phone: (208) 233-3355
Fax: (208) 232-6118

Authorised official

Name: Bjorn Sauerwein
Title: Physician/Owner
Phone: (208) 233-3355

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence M9971 (ID)

Other Urology providers in Idaho →

Registry record

NPI: 1962790964
Entity type: Organization
NPI issued: 12 Jul 2011
Record last updated: 20 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.