Steven B Sparks Do Ltd LLC

NPI #1902893282 in Sandusky, Ohio

Provider Information

NPI Number: 1902893282
Entity Type: Organization
Organization Name: Steven B Sparks Do Ltd LLC
Primary Specialty: General Practice
Enumeration Date: Oct 3, 2005
Last Updated: Aug 27, 2007

Practice Location

Address: 1723 COLUMBUS AVE
Address 2: STE D
City: Sandusky
State: Ohio
ZIP Code: 44870-3546
Phone: (419) 626-5252

Authorized Official

Name: STEVEN B SPARKS, DO
Title: OWNER
Phone: (419) 626-5252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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