Individual
DR. AMY L. SPARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 NE 13TH ST, OKLAHOMA CITY, OK 73104-5008
(405) 271-2429
Mailing address
940 NE 13TH ST, OKLAHOMA CITY, OK 73104-5008
(405) 271-2429
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301078152
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301078152
MI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
4301078152
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51090
BLUE SHIELD
MI
05
—
4950313
—
MI
Enumeration date
07/16/2006
Last updated
11/16/2007
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