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Individual

DR. SPENCER GEYER WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
392 FALLS AVE, TWIN FALLS, ID 83301-3373
(208) 734-0500
(208) 734-0501
Mailing address
392 FALLS AVE, TWIN FALLS, ID 83301-3373
(208) 734-0500
(208) 734-0501

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C-377
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010007911
BLUE SHIELD
ID
01
350043555
RAILROAD MEDICARE
ID
01
381928
KANSAS BC BS
ID
01
C-377
STATE LICENSE
ID
01
C7770 8E522
BLUE CROSS
ID
Enumeration date
12/05/2006
Last updated
10/22/2010
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