# SPARTA CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Streamline Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508233701
- **Authorized official:** JEREMY SAUL MD (OWNER)
- **Authorized official phone:** (479) 280-3771

## Contact information

- **Practice address:** 700 E PARKWAY DR, RUSSELLVILLE, AR 72801-4202
- **Practice address phone:** (479) 567-5770
- **Practice address fax:** (479) 567-5104
- **Mailing address:** PO BOX 9178, RUSSELLVILLE, AR 72811-9178
- **Mailing address phone:** (800) 824-4094
- **Mailing address fax:** (479) 968-1673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2015
- **Last updated:** 04/11/2024
