Sparks Medical Consulting Llc | |
1604 Sw 38th St Moore OK 73160-2953 | |
(405) 659-5525 | |
(800) 396-6706 |
Full Name | Sparks Medical Consulting Llc |
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Speciality | Clinic/center |
Location | 1604 Sw 38th St, Moore, Oklahoma |
Authorized Official Name and Position | Audrianna Sparks (OWNER/PROVIDER) |
Authorized Official Contact | 4056595525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sparks Medical Consulting Llc 1604 Sw 38th St Moore OK 73160-2953 Ph: (405) 659-5525 | Sparks Medical Consulting Llc 1604 Sw 38th St Moore OK 73160-2953 Ph: (405) 659-5525 |
NPI Number | 1891317731 |
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Provider Enumeration Date | 05/14/2020 |
Last Update Date | 05/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891317731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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