Sypherd, Dirk Spencer

Sypherd, Dirk Spencer is an individual health care provider with primary practice located at 910 W 5Th Ave Suite 801, Spokane WA 99204-2966. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Sypherd, Dirk Spencer can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
910 W 5Th Ave Suite 801 Spokane WA 99204-2966
Phone: (509) 838-2531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M8215 Idaho
Allopathic & Osteopathic Physicians / Urology 208800000X 109260 Montana
Allopathic & Osteopathic Physicians / Urology 208800000X MD00028526 Washington

Profile Details

NPI number 1073593638
LBN Legal business name Sypherd, Dirk Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Dec 22nd, 2022 - about 4 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1073593638 NPPES
Idaho MEDICAID 002673400
Idaho MEDICAID 8552457

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