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Dr. David M. Sparks, M.d., Pllc
Specialist in Ponca City, Oklahoma
NPI 1962504746

Dr. David M. Sparks, M.d., Pllc is a Specialist based in Ponca City, OK. Dr. David M. Sparks, M.d., Pllc practices in Ponca City, OK. The NPI Number for Dr. David M. Sparks, M.d., Pllc is 1962504746 and holds a License No. 22621 (Oklahoma).

The current practice location address for Dr. David M. Sparks, M.d., Pllc is 415 Fairview Ave, Ponca City, OK and can be reached out via phone at 580-762-0202.

Location: 415 Fairview Ave, Ponca City, OK, 74601-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962504746
Provider Name
Dr. David M. Sparks, M.d., Pllc
Credential
Provider Entity Type
Organization
Address
415 Fairview Ave, Ponca City, OK, 74601-1923
Phone Number
580-762-0202
Fax Number
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200060140B 05 OK
institution
Provider Business Practice Location Address Details
Address
415 Fairview Ave
City
Ponca City
State
Oklahoma
Zip
74601-1923
Phone Number
580-762-0202
Fax Number
person
Provider Business Mailing Address Details
Address
415 Fairview Ave
City
Ponca City
State
Oklahoma
Zip
74601-1923
Phone Number
580-762-0202
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
22621 (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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