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IDAHO UROLOGY CLINIC, P.A.

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Company Details

Name: IDAHO UROLOGY CLINIC, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 01 Oct 1973 (52 years ago)
Financial Date End: 31 Oct 2014
Date dissolved: 16 Jan 2015
Entity Number: 156463
Place of Formation: IDAHO
File Number: 0000156463
ZIP code: 83686
County: Canyon County
Mailing Address: 1613-B 12TH AVE. RD. NAMPA, ID 83686

National Provider Identifier

NPI Number:
1598811945

Authorized Person:

Name:
WILFRED E WATKINS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2084662488

Form 5500 Series

Employer Identification Number (EIN):
820307474
Plan Year:
2011
Number Of Participants:
1
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0001531438 2013-08-19
Annual Report 0001531437 2012-08-14
Annual Report 0001531430 2011-08-09
Annual Report 0001531429 2010-08-10
Annual Report 0001531434 2009-08-20

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State