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Individual
STEVEN RAY SPARKS
Active
Individual
STEVEN RAY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G073184
CA
2086S0129X
Vascular Surgery Physician
Primary
G073184
CA
Other
Enumeration date
09/29/2010
Last updated
09/08/2017
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