NPI | 1902893282 |
---|---|
Doing Business As | STEVEN B SPARKS DO |
Entity Type | Organization |
Authorized Contact | STEVEN B SPARKS Owner 419-626-5252 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2005-10-03 |
Last Update Date | 2007-08-27 |