DR. Randal P Sparks, DO

NPI #1831201144 in Olivia, Minnesota

Provider Information

NPI Number: 1831201144
Entity Type: Individual
Name: DR. Randal P Sparks, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Aug 31, 2006
Last Updated: Jun 5, 2015

Practice Location

Address: 600 EAST FAIRVIEW AVENUE
City: Olivia
State: Minnesota
ZIP Code: 56277-1399
Phone: (320) 523-1460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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