Individual
SPENSER WINBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4424 E FLAMINGO AVE STE 300, NAMPA, ID 83687-9306
(208) 302-0200
(208) 302-0255
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2029
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2019
Last updated
08/16/2023
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