Individual
DR. SPENCER DEAN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1390 S MAPLE GROVE, SUITE 200, BOISE, ID 83709
(208) 672-0100
(208) 672-0200
Mailing address
1390 S MAPLE GROVE, SUITE 200, BOISE, ID 83709
(208) 672-0100
(208) 672-0200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1288
ID
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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