Whalio Doctors

NPI 1619402286

Andrew Mazzone, MD

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
Mailing address
190 E Bannock St, Boise, ID 83712-6241

Registered specialties (4)

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence M-16761 (ID)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 114025 (MT)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 10959125-1205 (UT)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 25185 (NV)

Registry record

NPI
1619402286
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Apr 2017
Record last updated
15 Jul 2024

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.