Individual
SPENCER GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 IDAHO ST, LEWISTON, ID 83501-1940
(208) 848-8300
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
(509) 434-7806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
62319
ID
363LF0000X
Family Nurse Practitioner
AP60693813
WA
Other
Enumeration date
09/28/2016
Last updated
12/13/2021
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