STACEY D SPARKS

SHREVEPORT, LA
NPI1427291863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: LA  205277)
Enumeration Date2009-04-15
Last Update Date2019-02-08
Business Address
STACEY D SPARKS MD
845 OLIVE ST
SHREVEPORT, LA 71104-2141
Phone number: 318-226-4892
Mailing Address
STACEY D SPARKS MD
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8951