Individual
JASON ROBERT SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8165 S MINGO RD STE 201, TULSA, OK 74133-4668
(918) 286-3124
(918) 286-3764
Mailing address
8165 S MINGO RD STE 201, TULSA, OK 74133-4668
(918) 286-3124
(918) 286-3764
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2008011789
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
5279
OK
Other
Enumeration date
12/16/2008
Last updated
09/09/2020
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