Individual
DR. PATRICIA JO SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5626 NE 200TH PL, KENMORE, WA 98028-3111
(206) 817-5367
Mailing address
6830 NE BOTHELL WAY # C155, KENMORE, WA 98028-3546
(206) 817-5367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00022204
WA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
00022204
WA
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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