Spencer D Greendyke MD LLC
NPI #1558468439 in Coeur D'alene, Idaho
Provider Information
- NPI Number
- 1558468439
- Entity Type
- Organization
- Organization Name
- Spencer D Greendyke MD LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Feb 24, 2012
Practice Location
- Address
- 3318 N GRAND MILL LN
- City
- Coeur D'alene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 277-1060
Authorized Official
- Name
- SPENCER D GREENDYKE, MD
- Title
- PHYSICIAN
- Phone
- (208) 277-1060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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