Search › Idaho › 183500000X
Bruce Spradlin
NPI 1811398936 · on the registry since 2014
Practice
- Address
- 212 Bonner Mall Way
Ponderay, ID 83852 - Phone
- (208) 265-8066
- Fax
- (208) 263-6623
- Organisation at this address
- Yokes Food Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
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
- 2014-09-08
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