RIDGE GLEN SPACKMAN, CRNA

NPI: 1710870662 · Individual · Active

Primary Specialty

Certified Registered Nurse Anesthetist
Nurse Anesthetist, Certified Registered

Practice Location

14502 W MEEKER BLVD
SUN CITY WEST, AZ 85375-5282 Map ↗
Phone: 623-524-4000

Mailing Address

3250 N 375 E
REXBURG, ID 83440-3437 Map ↗
Phone: 208-313-4859

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Certified Registered Nurse Anesthetist Primary (license: 323408, AZ)

NPI Registration

Enumerated: 2025-05-30

Last CMS Update: 2025-06-17