SPENSER WINBERRY

NAMPA, ID
NPI1376192559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2029)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-09-10
Last Update Date2023-08-16
Business Address
SPENSER WINBERRY
4424 E FLAMINGO AVE STE 300
NAMPA, ID 83687-9306
Phone number: 208-302-0200
Mailing Address
SPENSER WINBERRY
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170