Stacey D Sparks MD

NPI 1427291863 - Pediatrics - 208000000X

NPI Details
NPI 1427291863
Gender Female
Enumeration Date 04/15/2009
Last Updated 12/19/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
845 OLIVE ST
SHREVEPORT LA, 71104-2141, US
Phone (318) 226-4892
Fax (318) 227-4927
Business Location
845 OLIVE ST
SHREVEPORT LA, 71104-2141, US
Phone (318) 226-4892
Fax (318) 227-4927
Toxanomy
Taxonomy Code 208000000X
License State Louisiana
License Number 205277
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According to our database, Stacey D Sparks MD NPI is 1427291863, taxonomy code is 208000000X and license number is 205277, license state is located at Louisiana. Stacey D Sparks MD physically located at 845 Olive St, Shreveport LA, 71104-2141. NPI Number Stacey D Sparks MD has the Individual type.

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1427291863 NPI number is provided on an as is basis without warranty of any kind. 1427291863 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey D Sparks MD are for informational purposes only.