SearchIdaho208800000X

Andrew Mazzone, M.D

NPI 1619402286 · on the registry since 2017 · sole proprietor

Practice

Address
775 Pole Line Rd W Ste 301
Twin Falls, ID 83301
Phone
(208) 814-8700
Organisation at this address
St Luke'S Clinic Llc
St Luke'S Clinic, Llc
David Johnson, M.D., P. A.
Arthritis Center Of Idaho,Pa
Bruce C Mccomas, M. D., P. A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
108

Additional practice sites

  • 5560 Kietzke Ln Bldg A, Reno, NV
  • 5070 Ion Dr Ste 201, Sparks, NV
  • University Of Utah Som Division Of Urology, Salt Lake City, UT
  • 1401 25th St S, Great Falls, MT

Registry record

Primary taxonomy
208800000X
208800000X
Also registered as
208800000X
208800000X
208800000X
Licence states on file
MT, ID, UT, NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-15

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