Individual
ERIC SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 7TH AVE. SOUTH, LOWDER SUITE 300, BIRMINGHAM, AL 35233
(205) 638-9688
Mailing address
555 UNIVERSITY AVENUE, ROY HILL WING, 1526, TORONTO, ON M5G 1-X8
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10041441
TX
2086S0120X
Pediatric Surgery Physician
43082
AL
390200000X
Student in an Organized Health Care Education/Training Program
4301115111
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
559681
TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING
TX
Enumeration date
06/02/2011
Last updated
04/01/2022
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