Daniel Paul Sparks

NPI #1336919216 in Groton, Connecticut

Provider Information

NPI Number: 1336919216
Entity Type: Individual
Name: Daniel Paul Sparks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Enumeration Date: Jan 3, 2024
Last Updated: Jan 3, 2024

Practice Location

Address: 39 BROAD STREET EXT
City: Groton
State: Connecticut
ZIP Code: 06340-3746
Phone: (623) 297-7438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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