Individual
JAMES LEE SPACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2682
(208) 678-4444
Mailing address
1501 HILAND AVE, BURLEY, ID 83318-2682
(208) 678-4444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-7727
ID
Other
Enumeration date
11/17/2006
Last updated
10/01/2021
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