| 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 |
|---|---|
| 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 |