# SPENCER D GREENDYKE MD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** RiversEdge Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558468439
- **Authorized official:** SPENCER D GREENDYKE MD (PHYSICIAN)
- **Authorized official phone:** (208) 277-1060

## Contact information

- **Practice address:** 3318 N GRAND MILL LN, COEUR D'ALENE, ID 83814
- **Practice address phone:** (208) 277-1060
- **Practice address fax:** (208) 277-1065
- **Mailing address:** 3318 N GRAND MILL LN, COEUR D'ALENE, ID 83814
- **Mailing address phone:** (208) 277-1060
- **Mailing address fax:** (208) 277-1065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | M9110 | ID | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 02/24/2012