DR. Kristan C Sparks, O.D.

NPI #1174723332 in Shelley, Idaho

Provider Information

NPI Number
1174723332
Entity Type
Individual
Name
DR. Kristan C Sparks, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jul 24, 2007
Last Updated
Jul 24, 2007

Practice Location

Address
169 S EMERSON AVE
State
Idaho
ZIP Code
83274-1226
Phone
(208) 357-5733

Specialties & Taxonomy Codes

Specialty
Optometrist

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