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Individual

JOHN MARK SPARGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-8221
(919) 789-4462
Mailing address
PO BOX 1825855, PHILADELPHIA, PA 19182-5885
(540) 658-9118

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38207
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16-54682
UNITED HEALTHCARE
NC
01
16-55053
UNITED HEALTHCARE
NC
01
300060167
RAILROAD MEDICARE
NC
01
300060231
RAILROAD MEDICARE
NC
01
300060262
RAILROAD MEDICARE
NC
01
63140
MEDCOST
NC
01
63203
MEDCOST
NC
01
7209487
VIRGINIA MEDICAID
VA
01
77398
BLUECROSS BLUESHIELD
NC
05
8977398
NC
Enumeration date
06/08/2006
Last updated
09/22/2025
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