NPI 1013283472

Nikolai Sopko, MDPHD

Practitioner Urology Physician Twin Falls, ID

Practice location

Address: 775 Pole Line Rd W STE 301, Twin Falls, ID 83301-5823
Phone: (208) 814-8700
Fax: (208) 933-4914
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence AJ414735 (MD)

Other Urology providers in Idaho →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence M-15541 (ID)

Registry record

NPI: 1013283472
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2012
Record last updated: 5 Oct 2023

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.