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Contact Information

MICHAEL B SPACKMAN, MD
360 E MONTVUE DR
SUITE 100
MERIDIAN, ID83642
 Phone: 208-855-2900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MICHAEL B SPACKMAN · (Male)

NPI Number 1386887032
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2009
Last updated 07/11/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M11335
Hospital affiliation(s)
  • SAINT ALPHONSUS MEDICAL CENTER - NAMPA - (Acute Care)
    1512 TWELFTH AVENUE ROAD
    NAMPA, ID 83686
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
  • WEST VALLEY MEDICAL CENTER - (Acute Care)
    1717 ARLINGTON STREET
    CALDWELL, ID 83605
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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