| NPI | 1427443613 |
|---|---|
| Doing Business As | SPARKMD |
| Entity Type | Organization |
| Authorized Contact | JULIE KRISTEN GUNTHER Owner, Physician 208-369-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: ID M-10803) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-21 |