MARK D SPENCER

GOODING, ID
NPI1497719728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M4484)
Enumeration Date2006-04-13
Last Update Date2007-07-08
Business Address
-- MARK D SPENCER MD
425 IDAHO STREET
GOODING, ID 83330
Phone number: 208-934-5900
Mailing Address
-- MARK D SPENCER MD
PO BOX 447
GOODING, ID 83330
Phone number: 208-934-5900
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