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1033186606
CRAIG R SPENCER
MERIDIAN, ID
NPI
1033186606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: ID M10519)
Additional Taxonomies
208800000X Urology
(Licence: WA MD00044961)
Enumeration Date
2006-03-02
Last Update Date
2012-09-18
Business Address
-- CRAIG R SPENCER MD
520 S EAGLE RD STE 3112
MERIDIAN, ID 83642-6351
Phone number: 208-706-5800
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Mailing Address
-- CRAIG R SPENCER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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