NPI 1386887032

Michael Bryon Spackman, MD

Practitioner Pain Medicine (Physical Medicine & Rehabilitation) Physician Meridian, ID

Practice location

Address: 360 E Montvue Dr Suite 100, Meridian, ID 83642
Phone: (208) 855-2900
Mailing address: 2835 N Tanglerose Pl, Eagle, ID 83616-5796

Registered specialties

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence M11335 (ID)

Other Physical Medicine & Rehabilitation providers in Idaho →

Registry record

NPI: 1386887032
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2009
Record last updated: 11 Jul 2018

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.