Spencer D Greendyke Md Llc in Coeur D'alene - Medical Specialty
Spencer D Greendyke Md Llc - NPI 1558468439
Spencer D Greendyke Md Llc is a Medical Specialty in Coeur D'alene, Idaho. Spencer D Greendyke Md Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Spencer D Greendyke Md Llc is 1558468439. The last update date is 2012-02-24.
Spencer D Greendyke Md Llc's current location address is 3318 N Grand Mill Ln, Coeur D'alene, Idaho. You can contact this provider via phone number 2082771060 and fax number 2082771065. The mailing address for Spencer D Greendyke Md Llc is 3318 N Grand Mill Ln, Coeur D'alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spencer D Greendyke Md Llc |
|---|---|
| Address | 3318 N Grand Mill Ln, Coeur D'alene, Idaho |
| Phone Number | 2082771060 |
| Fax Number | 2082771065 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Greendyke D Spencer |
| Credentials | MD |
| Telephone Number | 2082771060 |
NPI Number Detail
| NPI Number | 1558468439 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2012-02-24 |
Provider Mailing Address Detail
| Address | 3318 N Grand Mill Ln |
|---|---|
| City | Coeur D'alene |
| State | Idaho (ID) |
| Post Code | 83814 |
| Phone Number | 2082771060 |
| Fax Number | 2082771065 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | M9110 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique provider identifier assigned to Spencer D Greendyke Md Llc?
The Spencer D Greendyke Md Llc has been issued the NPI (National Provider Identifier) 1558468439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Spencer D Greendyke Md Llc located?
The Spencer D Greendyke Md Llc is located at 3318 N Grand Mill Ln, Coeur D'Alene, ID 83814.
What is Spencer D Greendyke Md Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Spencer D Greendyke Md Llc's area of specialization is Medical Specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558468439 to Spencer D Greendyke Md Llc?
The Spencer D Greendyke Md Llc received its 1558468439 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the information regarding Spencer D Greendyke Md Llc most recently updated?
The details pertaining to the Spencer D Greendyke Md Llc, including its address, specialty, and other relevant information, were last refreshed on 2012-02-24.