Sparks Medical Consulting LLC

NPI #1891317731 in Moore, Oklahoma

Provider Information

NPI Number
1891317731
Entity Type
Organization
Organization Name
Sparks Medical Consulting LLC
Primary Specialty
Clinic/Center
Enumeration Date
May 14, 2020
Last Updated
May 14, 2020

Practice Location

Address
1604 SW 38TH ST
City
Moore
ZIP Code
73160-2953
Phone
(405) 659-5525

Authorized Official

Name
AUDRIANNA SPARKS, APRN
Title
OWNER/PROVIDER
Phone
(405) 659-5525

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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