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NPI Code Detail

MEDICARE: DR. DANIEL R. SPARKS MD

MEDICARE: DR. DANIEL R. SPARKS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician23975AL

General Provider Information

NPI Number : 1730133067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL R. SPARKS MD
Provider Business Mailing Address
First Line : 3102 RAINBOW DR
Second Line :
City : RAINBOW CITY
State : AL
Zip : 35906-5804
Country : US
Telephone Number : 256-546-8127
Fax Number : 256-547-6720
Provider Business Practice Location Address
First Line : 3102 RAINBOW DR
Second Line :
City : RAINBOW CITY
State : AL
Zip : 35906-5804
Country : US
Telephone Number : 256-546-8127
Fax Number : 256-547-6720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 07/05/2023

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