Spencer Ryan Idstein, M.D.

NPI #1205194693 in Prospect, Kentucky

Provider Information

NPI Number: 1205194693
Entity Type: Individual
Name: Spencer Ryan Idstein, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Apr 24, 2012
Last Updated: Dec 8, 2023

Practice Location

Address: 6341 MEETING ST STE 102
City: Prospect
State: Kentucky
ZIP Code: 40059-8731
Phone: (502) 566-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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