NPI 1205827904

Michael D Severson, MD

Practitioner Pain Medicine Physician Meridian, ID

Practice location

Address: 520 S Eagle Rd Suite 1222, Meridian, ID 83642-6351
Phone: (208) 947-2266
Fax: (208) 947-2267
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence M8793 (ID)

Other Pain Medicine providers in Idaho →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence M8793 (ID)

Other Anesthesiology providers in Idaho →

Registry record

NPI: 1205827904
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2005
Record last updated: 18 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.