Individual
DR. GARY RICHARD SPARAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25450 THE OLD RD, STEVENSON RANCH, CA 91381-1704
(661) 253-3662
Mailing address
24801 MAGIC MOUNTAIN PKWY, #2022, VALENCIA, CA 91355-1483
(661) 204-0737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 8327 TPA
CA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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