DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL BRYON SPACKMAN, MD

Active Sole Proprietor

DR. MICHAEL BRYON SPACKMAN, MD is a Pain Medicine (PM&R) healthcare provider located in MERIDIAN, Idaho. NPI 1386887032 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · MERIDIAN, ID

Registration Details

NPI Number
1386887032
Provider Type
Individual
Gender
Male
NPI Issued
Apr 10, 2009 (17.301096484501 yrs)
Last Updated
Jul 11, 2018
License
M11335 (ID)
Sole Proprietor
Yes

Practice Information

Address
360 E MONTVUE DR
SUITE 100
MERIDIAN, ID, 83642
Browse ID providers · Browse ZIP 83642
Phone
2088552900
Primary Specialty
Pain Medicine (PM&R)
2081P2900X

Other Pain Medicine (PM&R) Providers in MERIDIAN, ID

Name Credential NPI
BARBARA E QUATTRONE MD 1093791972
JAMES H MORLAND MD 1215975164
BETH S ROGERS MD 1427151539
MARK J HARRIS MD 1790825842
DR. TIMOTHY J ZIELICKE D.O. 1841638723
DR. TYSON SCOTT SESSIONS DO 1447710025
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.