ANDREW MAZZONE

TWIN FALLS, ID
NPI1619402286
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: ID  M-16761)
Additional Taxonomies208800000X Urology
(Licence: MT  114025)
208800000X Urology
(Licence: UT  10959125-1205)
208800000X Urology
(Licence: NV  25185)
Enumeration Date2017-04-20
Last Update Date2024-07-15
Business Address
ANDREW MAZZONE M.D.
775 POLE LINE RD W STE 301
TWIN FALLS, ID 83301-5823
Phone number: 208-814-8700
Mailing Address
ANDREW MAZZONE M.D.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: