IndividualActive
Spencer Funk, DO
NPI 1417516949 · Neurology Physician · Twin Falls, ID
Provider details
- NPI number
- 1417516949
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone: (208) 814-4100
Fax: (208) 814-4908
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 8700 Beverly Blvd Ste 5512West Hollywood, CA 90048-1804Phone: (310) 423-2811
Registry dates
- Enumerated
- 2019-06-08
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.