Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Idaho Urology Clinic, PA

Organization Specialist · NPI 1598811945

Idaho Urology Clinic, PA provides Specialist services 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 Not confirmed with CMS for 15 years — call before visiting
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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