Individual
PATRICK CONNOR SPOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(864) 416-1090
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(864) 416-1090
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41056
SC
207P00000X
Emergency Medicine Physician
Primary
LL41056
SC
207P00000X
Emergency Medicine Physician
M-14679
ID
Other
Enumeration date
06/28/2017
Last updated
01/31/2026
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