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Individual

RHONDA A SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2130 SW 59TH ST, OKLAHOMA CITY, OK 73119-7025
(403) 303-7555
(405) 561-5615
Mailing address
PO BOX 740020, ATLANTA, GA 30374-0020
(312) 733-9730
(773) 866-8014

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01075874A
IN
207Q00000X
Family Medicine Physician
Primary
19503
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100046670B
OK
Enumeration date
03/09/2006
Last updated
02/04/2022
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