Search › Idaho › 2084N0400X
Spencer Funk, DO
NPI 1417516949 · on the registry since 2019
Practice
- Address
- 801 Pole Line Rd W
Twin Falls, ID 83301 - Phone
- (208) 814-4100
- Fax
- (208) 814-4908
- Organisation at this address
- Valley Pathology Associates Pllc
St Lukes Regional Medical Center
St Lukes Regional Medical Center
St. Luke'S Magic Valley Rmc-Lifeline
St Luke'S Magic Valley Regional Medical Center LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 220
Additional practice sites
- 8700 Beverly Blvd Ste 5512, West Hollywood, CA
Registry record
- Primary taxonomy
- 2084N0400X
2084N0400X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho