| NPI | 1740395003 |
|---|---|
| Other Name | SPARTA MEDICAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | LISA ERNSTING CFO 618-433-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-05-16 |