| NPI | 1043262124 |
|---|---|
| Doing Business As | SPARKS ORTHOPEDICS AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL R. SPARKS Md 256-546-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 23975) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1034563) |
| 207X00000X Orthopaedic Surgery (Licence: AL 13891) | |
| 207X00000X Orthopaedic Surgery (Licence: AL 08437) | |
| 207X00000X Orthopaedic Surgery (Licence: AL 24950) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-07-05 |