OrganizationActive
Jessica Spayd
NPI 1255465720 · Pain Medicine Physician · Eagle River, AK
Provider details
- NPI number
- 1255465720
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Spayd, Registered Agent(907) 622-4673
- License
- 4245, 677, 20608 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11823 Old Glenn Hwy
Suite 110
Eagle River, AK 99577-7734
Phone: (907) 622-4673
Fax: (907) 622-4674
Approximate (ZIP-level) locationGet directions
Mailing address
11823 Old Glenn Hwy
Eagle River, AK 99577-7734
Other names (DBA / former)
- Former legal business name
- Eagle River Pain & Wellness
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.