Individual
JEFFREY SORIN ISPIRESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1327 SUPERIOR ST, SUITE 101, SANDPOINT, ID 83864-1735
(208) 263-9757
(208) 965-8128
Mailing address
1327 SUPERIOR ST, SUITE 101, SANDPOINT, ID 83864-1735
(208) 263-9757
(208) 965-8128
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M9912
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A747980
—
CA
01
—
A74798
MEDICAL LICENSE
CA
01
—
M9912
STATE MEDICAL LICENSE
ID
Enumeration date
06/16/2006
Last updated
05/06/2014
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