NPI 1033186606

Craig R Spencer, MD

Practitioner Urology Physician Meridian, ID

Practice location

Address: 520 S Eagle Rd STE 3112, Meridian, ID 83642-6351
Phone: (208) 706-5800
Fax: (208) 706-5810
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence M10519 (ID)

Other Urology providers in Idaho →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD00044961 (WA)

Registry record

NPI: 1033186606
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2006
Record last updated: 18 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.