Individual
JANENE C SPARKS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(636) 947-5000
(636) 947-5090
Mailing address
1836 LACKLAND HILL PKWY, ATTENTION: CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006006321
MO
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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