Individual
JEFFREY M SPARKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 951-2541
(405) 951-2237
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 951-2541
(405) 951-2237
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25930
OK
207P00000X
Emergency Medicine Physician
4301073837
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010H262530
BLUE CROSS-BLUE CROSS
—
05
—
200122580A
—
OK
01
—
36255
OBNDD
OK
05
—
442957310
—
MI
01
—
H72643
UPIN
OK
01
—
JS073837
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/17/2006
Last updated
03/07/2023
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