Organization
JASON SPARKS, D.O. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON R. SPARKS D.O. (OWNER)
(539) 664-4448
Entity
Organization
Contact information
Practice address
9101 S TOLEDO AVE, TULSA, OK 74137-2719
(539) 664-4448
Mailing address
9101 S TOLEDO AVE, SUITE B, TULSA, OK 74137-2719
(539) 664-4448
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
OK
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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