Organization
SPENCER D GREENDYKE MD LLC
Active
Other names
RiversEdge Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER D GREENDYKE MD (PHYSICIAN)
(208) 277-1060
Entity
Organization
Contact information
Practice address
3318 N GRAND MILL LN, COEUR D'ALENE, ID 83814
(208) 277-1060
(208) 277-1065
Mailing address
3318 N GRAND MILL LN, COEUR D'ALENE, ID 83814
(208) 277-1060
(208) 277-1065
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
M9110
ID
Other
Enumeration date
09/20/2006
Last updated
02/24/2012
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