Individual
DR. WOLFGANG J.T. SPYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W IRONWOOD DR, SUITE 350, COEUR D ALENE, ID 83814-2656
(208) 676-9913
(208) 666-0885
Mailing address
122 W 7TH AVE, SUITE 310, SPOKANE, WA 99204-2349
(509) 838-7711
(509) 747-4664
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M-9502
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807419300
—
ID
Enumeration date
01/31/2006
Last updated
01/29/2016
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