Jay L Sparks MD

NPI 1013057488 - Family Medicine - 207Q00000X

NPI Details
NPI 1013057488
Gender Male
Enumeration Date 02/07/2007
Last Updated 05/02/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
SPRINGFIELD MO, 65807-7304, US
Phone (417) 820-7450
Fax (417) 820-7455
Business Location
PO BOX 2580
SPRINGFIELD MO, 65801-2580, US
Phone (417) 829-4620
Taxonomy Code 207Q00000X
License State Missouri
License Number 104280
Remove 1013057488 NPI Number

According to our database, Dr. Jay L Sparks MD NPI is 1013057488, taxonomy code is 207Q00000X and license number is 104280, license state is located at Missouri. Jay L Sparks MD physically located at 3231 S National Ave, Springfield MO, 65807-7304. NPI Number Jay L Sparks MD has the Individual type.

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1013057488 NPI number is provided on an as is basis without warranty of any kind. 1013057488 is maintained by the National Plan & Provider Enumeration System. The contents of Jay L Sparks MD are for informational purposes only.