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Organization
RICHARD D SPARROW
Active
Organization
RICHARD D SPARROW
Active
Other names
Richard D Sparrow DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D SPARROW (OWNER)
(330) 310-6938
Entity
Organization
Contact information
Practice address
116 EAST AVE, STE 4, TALLMADGE, OH 44278-2300
(330) 310-6938
Mailing address
3517 KENT RD, STOW, OH 44224-4601
(330) 310-6938
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-002144-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000165800
ANTHEM
OH
05
—
0561691
—
OH
01
—
4280847
AETNA
OH
01
—
470275
UNITED HEALTHCARE
OH
01
—
480003267
RAILROAD MEDICARE
OH
Enumeration date
07/08/2013
Last updated
07/09/2013
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