Healthcare Provider Details

I. General information

NPI: 1699855353
Provider Name (Legal Business Name): FRANCIS D SPARROW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 03/07/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 BUTLER RD
MOUNT GRETNA PA
17064-6085
US

IV. Provider business mailing address

252 S 4TH ST
LEBANON PA
17042-6111
US

V. Phone/Fax

Practice location:
  • Phone: 717-273-8871
  • Fax:
Mailing address:
  • Phone: 717-821-8017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD039164L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: