| NPI | 1376833707 |
|---|---|
| Doing Business As | SPARKS EAR, NOSE, & THROAT CENTER, WEST |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Vice President 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2012-11-29 |