Dr. David M. Sparks, M.d., Pllc

NPI #1962504746 in Ponca City, Oklahoma

Provider Information

NPI Number: 1962504746
Entity Type: Organization
Organization Name: Dr. David M. Sparks, M.d., Pllc
Primary Specialty: Specialist
Enumeration Date: Sep 2, 2006
Last Updated: Jan 7, 2010

Practice Location

Address: 415 FAIRVIEW AVE
Address 2: SUITE 201
City: Ponca City
State: Oklahoma
ZIP Code: 74601-1923
Phone: (580) 762-0202

Authorized Official

Name: DR. DAVID MICHAEL SPARKS, M.D.
Title: PHYSICIAN
Phone: (580) 762-0202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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