Idaho Urology 1 PLLC
Idaho Urology 1 PLLC is an Urology Physician in Rexburg, Idaho. Works from 2 locations. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
30 Madison Professional ParkRexburg, ID 83440-2058
Phone: (208) 351-6363
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3155 Channing Way Ste A, Idaho Falls, ID 83404-7875 — (208) 356-0004
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X |
|---|
Record details
| NPI number | 1316890270 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacob Thatcher — Surgeon · (208) 351-6363 |
| Other names | Mountain West Urology |
| NPI enumerated | February 19, 2026 |
| Last updated in NPPES | August 5, 2026 |
| Certification date | August 5, 2026 |
| Mailing address | 30 Madison Professional Park, Rexburg, ID 83440-2058 |