Individual
CARTER CHRISTIAN SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3186 US-412, WEST SILOAM SPRINGS, OK 74338
(844) 458-2100
Mailing address
3186 US-412, WEST SILOAM SPRINGS, OK 74338-8237
(844) 458-2100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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