Individual
DR. STEPHEN EDWARD SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 N MADISON ST, BLOOMFIELD, IA 52537-1247
(641) 664-1233
(641) 664-1232
Mailing address
505 N MADISON ST, BLOOMFIELD, IA 52537-1247
(641) 664-1233
(641) 664-1232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22623
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2206599
—
IA
Enumeration date
07/18/2006
Last updated
07/08/2007
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