Spencer, Seth Cannon

Spencer, Seth Cannon is an individual health care provider with primary practice located at 3067 Eagle Dr , Ammon ID 83406-1273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Spencer, Seth Cannon can be contacted via phone (208) 522-4600.

Contact Information

Primary practice address
3067 Eagle Dr Ammon ID 83406-1273
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-17257 Idaho

Profile Details

NPI number 1710505060
LBN Legal business name Spencer, Seth Cannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2020
Last updated Feb 23rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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