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Individual

DIERICK R SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3102 RAINBOW DR, RAINBOW CITY, AL 35906-5804
(256) 546-8127
(256) 547-6720
Mailing address
3102 RAINBOW DR, RAINBOW CITY, AL 35906-5804
(256) 546-8127
(256) 666-4690

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
24950
AL

Other

Enumeration date
08/30/2006
Last updated
07/05/2023
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