# UROLOGY CENTER OF IDAHO PLLC

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

## Provider details

- **NPI number:** 1962790964
- **Authorized official:** BJORN SAUERWEIN M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (208) 233-3355

## Contact information

- **Practice address:** 500 S 11TH AVE, SUITE 301, POCATELLO, ID 83201-4835
- **Practice address phone:** (208) 233-3355
- **Practice address fax:** (208) 232-6118
- **Mailing address:** 500 S 11TH AVE, SUITE 301, POCATELLO, ID 83201-4835
- **Mailing address phone:** (208) 233-3355
- **Mailing address fax:** (208) 232-6118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | M9971 | ID | Yes |

## Other

- **Enumeration date:** 07/12/2011
- **Last updated:** 09/20/2011