Dr. David M. Sparks, M.D., Pllc

LBN: Dr. David M. Sparks, M.D., Pllc
Dr. David M. Sparks, M.D., Pllc is an health care organization with primary practice located at 415 Fairview Ave Suite 201, Ponca City OK 74601-1923. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dr. David M. Sparks, M.D., Pllc can be contacted via phone (580) 762-0202, or through Sparks, David Michael via phone (580) 762-0202.

Contact Information

Primary practice address
415 Fairview Ave Suite 201 Ponca City OK 74601-1923
Phone: (580) 762-0202
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sparks, David Michael Doctor of Medicine (MD)
Phone: (580) 762-0202

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22621 Oklahoma

Profile Details

NPI number 1962504746
LBN Legal business name Dr. David M. Sparks, M.D., Pllc
DBA Doing business as
Authorized official Sparks, David Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2006
Last updated Jan 7th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962504746 NPPES
Oklahoma MEDICAID 200060140B

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