# NORTH IDAHO UROLOGY, PLLC

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

## Provider details

- **NPI number:** 1891834768
- **Authorized official:** CHRISTINE A CHATFIELD (BILLING SUPERVISOR)
- **Authorized official phone:** (208) 667-0621

## Contact information

- **Practice address:** 980 W IRONWOOD DR, STE. 104, COEUR D ALENE, ID 83814-2668
- **Practice address phone:** (208) 667-0621
- **Practice address fax:** (208) 664-1709
- **Mailing address:** 980 W IRONWOOD DR, STE 104, COEUR D ALENE, ID 83814-2668
- **Mailing address phone:** (208) 667-0621
- **Mailing address fax:** (208) 664-1709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | M-3632 | ID | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 11/26/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002507200 | — | ID |
| 05 | — | 002667200 | — | ID |
| 05 | — | 805898101 | — | ID |