SearchIdaho183500000X

Spencer Dalling

NPI 1700295821 · on the registry since 2014

Practice

Address
2100 12th Ave Rd
Nampa, ID 83686
Phone
(208) 467-5159
Fax
(204) 667-5447
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-04

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