Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Idaho Urologic Institute PA

Organization Urology Physician · NPI 1689620692

Idaho Urologic Institute PA is an Urology Physician in Meridian, Idaho. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2855 E Magic View Dr
Meridian, ID 83642-6245
Phone: (208) 639-4900
Fax: (208) 639-4939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1689620692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Waldamann — Manager · (208) 343-7736
NPI enumeratedMay 25, 2006
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021
Mailing address2855 E Magic View Dr, Meridian, ID 83642-6245

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