SearchIdahoUrology Physician

Robert Jackson, MD

NPI 1184740045 · on the registry since 2007

Practice

Address
875 S Vanguard Way
Suite 200 D
Meridian, ID 83642
Phone
(208) 782-6730
Fax
(208) 759-7822
Organisation at this address
Urology Clinic
Jonathon C Wolf Md Pllc
Sparrow Speech Studio, Llc
Boise Endoscopy Center, Llc
Alliance Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
Urology Physician
208800000X
Also registered as
Student in an Organized Health Care Education/Training Program
Urology Physician
Licence states on file
MI, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho