Carter Sparks

NPI #1023862893 in Mckeesport, Pennsylvania

Provider Information

NPI Number: 1023862893
Entity Type: Individual
Name: Carter Sparks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Apr 16, 2024
Last Updated: Apr 16, 2024

Practice Location

Address: 1600 CORNELL ST
City: Mckeesport
State: Pennsylvania
ZIP Code: 15132-4613
Phone: (706) 346-9768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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