Individual
DANIEL R SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00038686
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149701
L&I
WA
05
—
8255960
—
WA
Enumeration date
07/20/2006
Last updated
07/08/2007
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