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1013283472
NIKOLAI SOPKO
TWIN FALLS, ID
NPI
1013283472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: MD AJ414735)
Additional Taxonomies
208800000X Urology
(Licence: ID M-15541)
Enumeration Date
2012-03-29
Last Update Date
2023-10-05
Business Address
Dr. NIKOLAI SOPKO M.D., Ph.D.
775 POLE LINE RD W STE 301
TWIN FALLS, ID 83301-5823
Phone number: 208-814-8700
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Mailing Address
Dr. NIKOLAI SOPKO M.D., Ph.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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