Sparks Pediatric and Adolescent Medicine

NPI #1285787820 in Sparks, Nevada

Provider Information

NPI Number: 1285787820
Entity Type: Organization
Organization Name: Sparks Pediatric and Adolescent Medicine
Primary Specialty: Pediatrics
Enumeration Date: Jan 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 975 ROBERTA LN
Address 2: SUITE 101B
City: Sparks
State: Nevada
ZIP Code: 89431-1894
Phone: (775) 359-7111

Authorized Official

Name: DR. KEVIN M WINDISCH, MD
Title: PRESIDENT
Phone: (775) 359-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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