Individual
DR. J WILLIAM SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Mailing address
34800 BOB WILSON DR, NMCSD, ATTN MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
203531
MA
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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