Dean Sparks, P.A.-C

NPI #1952312217 in Rathdrum, Idaho

Provider Information

NPI Number: 1952312217
Entity Type: Individual
Name: Dean Sparks, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Aug 11, 2006
Last Updated: Aug 14, 2023

Practice Location

Address: 16760 N HIGHWAY 41
City: Rathdrum
State: Idaho
ZIP Code: 83858-8715
Phone: (208) 687-5627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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