Individual
ALISANDE B SPARKS
Active
Individual
ALISANDE B SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013220
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027405
ANTHEM
ME
01
—
2070058
AETNA
ME
01
—
F20883
HARVARD
ME
01
—
M10002501
CIGNA
ME
Enumeration date
04/21/2006
Last updated
07/08/2007
Update your record
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