Individual
DAVID A SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 298-4520
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 298-4520
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M2959
ID
208600000X
Surgery Physician
MD00012565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006002
REGENCE BLUESHIELD
ID
01
—
002385800
HEALTHY CONNECTIONS
ID
05
—
002385800
—
ID
05
—
1578509
—
WA
01
—
31261
WA LABOR & INDUSTRIES
WA
01
—
DF516
BLUE CROSS
ID
Enumeration date
10/23/2006
Last updated
05/13/2008
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