Jeffrey Ryan Sparks, D.O.

NPI #1780935197 in Macomb, Illinois

Provider Information

NPI Number
1780935197
Entity Type
Individual
Name
Jeffrey Ryan Sparks, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Otolaryngology - Otolaryngology/Facial Plastic Surgery
Credential
D.O.
Enumeration Date
Sep 25, 2012
Last Updated
Feb 28, 2014

Practice Location

Address
515 E GRANT ST
Address 2
SUITE 113
City
Macomb
ZIP Code
61455-3368
Phone
(309) 833-6937

Specialties & Taxonomy Codes

Specialty
Otolaryngology - Otolaryngology/Facial Plastic SurgeryOtolaryngology/Facial Plastic Surgery

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