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Individual

DR. SPENCER RAYE PAULSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6259 W EMERALD ST, BOISE, ID 83704-8731
(208) 489-1900
Mailing address
3614 E NEWBY ST, NAMPA, ID 83687-9201
(208) 205-1000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R73285
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R73285
ARIZONA TRAINING LICENSE NUMBER
AZ
Enumeration date
06/24/2012
Last updated
03/26/2026
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