Individual
SPENCER STANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
711 RIGBY LAKE DR STE 115, RIGBY, ID 83442-5230
(208) 745-5021
(208) 745-5026
Mailing address
711 RIGBY LAKE DR STE 115, RIGBY, ID 83442-5230
(208) 745-5021
(208) 745-5026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57005
ID
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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