| Sparks Medical Consulting Llc | |
|
1604 Sw 38th St Moore OK 73160-2953 | |
| (405) 659-5525 | |
| (800) 396-6706 |
| Full Name | Sparks Medical Consulting Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1604 Sw 38th St, Moore, Oklahoma |
| Authorized Official Name and Position | Audrianna Sparks (OWNER/PROVIDER) |
| Authorized Official Contact | 4056595525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparks Medical Consulting Llc 1604 Sw 38th St Moore OK 73160-2953 Ph: (405) 659-5525 | Sparks Medical Consulting Llc 1604 Sw 38th St Moore OK 73160-2953 Ph: (405) 659-5525 |
| NPI Number | 1891317731 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 05/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891317731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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