Individual
KRYSTINE RENE SPIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5966 W CURTISIAN AVE, BOISE, ID 83704-8801
(208) 302-5450
(208) 302-5495
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP60830272
WA
207RI0200X
Infectious Disease Physician
Primary
O-1997
ID
207RI0200X
Infectious Disease Physician
OP60830272
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023114
—
VT
Enumeration date
03/22/2011
Last updated
06/14/2024
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