DR. Stephen E Spencer SR., MD

NPI #1376548230 in Boise, Idaho

Provider Information

NPI Number: 1376548230
Entity Type: Individual
Name: DR. Stephen E Spencer SR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 16, 2005
Last Updated: Oct 5, 2012

Practice Location

Address: 6565 W EMERALD ST
City: Boise
State: Idaho
ZIP Code: 83704-8737
Phone: (208) 377-5055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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