Mrs Raina Ann Sparks, RD/LD | |
1127 S George Nigh Expy, Mcalester, OK 74501-7143 | |
(918) 423-8440 | |
Not Available |
Full Name | Mrs Raina Ann Sparks |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1127 S George Nigh Expy, Mcalester, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245473032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 953572 (Oklahoma) | Primary |
Provider Name | Choctaw Nation Of Oklahoma |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Mrs Raina Ann Sparks, RD/LD 1127 S George Nigh Expy, Mcalester, OK 74501-7143 Ph: (918) 423-8440 | Mrs Raina Ann Sparks, RD/LD 1127 S George Nigh Expy, Mcalester, OK 74501-7143 Ph: (918) 423-8440 |
Donna Green, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3101 Elks Road, Mcalester, OK 74501 Phone: 918-426-2442 | |
Brian Cole Musgrove, R.D., L.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1 E Clark Bass Blvd, Mcalester, OK 74501 Phone: 405-570-0041 Fax: 918-421-8675 | |
Cierra Brooklyn Toshali Sue Nutt, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 607 E Van Buren Ave Unit A, Mcalester, OK 74501 Phone: 918-441-9347 |