Individual
MARK D SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 N IDAHO ST, WENDELL, ID 83355-5038
(208) 990-3226
(888) 440-7959
Mailing address
PO BOX 447, GOODING, ID 83330
(208) 934-5900
(208) 934-5719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4484
ID
Other
Enumeration date
04/13/2006
Last updated
06/11/2025
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