MICHAEL BRYON SPACKMAN

MERIDIAN, ID
NPI1386887032
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: ID  m11335)
Enumeration Date2009-04-10
Last Update Date2018-07-11
Business Address
Dr. MICHAEL BRYON SPACKMAN MD
360 E MONTVUE DR SUITE 100
MERIDIAN, ID 83642
Phone number: 208-855-2900
Mailing Address
Dr. MICHAEL BRYON SPACKMAN MD
2835 N TANGLEROSE PL
EAGLE, ID 83616-5796
Phone number: 952-239-5080