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

Idaho Urology Clinic, PA

Organization Specialist · NPI 1598811945

Idaho Urology Clinic, PA is a Specialist in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
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

1613 12th Ave Rd Ste B
Nampa, ID 83686-6183
Phone: (208) 466-2461
Fax: (208) 466-2488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence M2768 (ID)

Record details

NPI number1598811945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wilfred Watkins — Owner · (208) 466-2461
NPI enumeratedJanuary 26, 2007
Last updated in NPPESNovember 9, 2010
Mailing address1613 12th Ave Rd Ste B, Nampa, ID 83686-6183

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