# SNAKE RIVER UROLOGY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730126566
- **Authorized official:** DAVID BOWYER M.D. (PHYSICIAN)
- **Authorized official phone:** (208) 732-3040

## Contact information

- **Practice address:** 660 SHOSHONE ST E, SUITE 201, TWIN FALLS, ID 83301-6110
- **Practice address phone:** (208) 732-3040
- **Practice address fax:** (208) 732-3195
- **Mailing address:** 660 SHOSHONE ST E, SUITE 201, TWIN FALLS, ID 83301-6110
- **Mailing address phone:** (208) 732-3040
- **Mailing address fax:** (208) 732-3195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 06/17/2008
