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IDAHO UROLOGIC INSTITUTE, P.A.

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Company Details

Name: IDAHO UROLOGIC INSTITUTE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Jun 2004 (21 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 470982
Place of Formation: IDAHO
File Number: 470982
ZIP code: 83642
County: Ada County
Mailing Address: 2855 E MAGIC VIEW DR MERIDIAN, ID 83642-6245

Director

Name Role Address Appointed On Resigned On
Gregory Feltenberger Director 2855 E MAGIC VIEW DRIVE, MERIDIAN, ID 83642 2021-05-06 2022-05-03
Erika Ferrozzo Director 2855 E. MAGIC VIEW DR., MERIDIAN, ID 83642 2023-07-25 No data
David Bishop Director 2855 E MAGIC VIEW DR, MERIDIAN, ID 83642 2022-05-03 2024-05-23

Agent

Name Role Address
TODD WALDMANN MD Agent 2855 E MAGIC VIEW DR, MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1689620692
Certification Date:
2021-02-22

Authorized Person:

Name:
DR. TODD WALDAMANN
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
2086394939

Filing

Filing Name Filing Number Filing date
Annual Report 0006255128 2025-05-14
Annual Report 0005745825 2024-05-23
Annual Report Amendment 0005331137 2023-07-25
Annual Report 0005218059 2023-05-03
Annual Report 0004724117 2022-05-03

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State