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Carissa Spencer

NPI 1811769797 · on the registry since 2023

Practice

Address
1110 E Halliday St
Pocatello, ID 83201
Phone
(208) 860-8987

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
390200000X
Sex
Female
Record last updated
2023-10-24

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