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1386887032
MICHAEL BRYON SPACKMAN
MERIDIAN, ID
NPI
1386887032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: ID m11335)
Enumeration Date
2009-04-10
Last Update Date
2018-07-11
Business Address
Dr. MICHAEL BRYON SPACKMAN MD
360 E MONTVUE DR SUITE 100
MERIDIAN, ID 83642
Phone number: 208-855-2900
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Mailing Address
Dr. MICHAEL BRYON SPACKMAN MD
2835 N TANGLEROSE PL
EAGLE, ID 83616-5796
Phone number: 952-239-5080
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