Individual
DR. GERALD J SPARKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41676 VETERANS AVE, HAMMOND, LA 70403-1412
(985) 543-3600
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.021501
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537993
—
LA
Enumeration date
06/11/2006
Last updated
07/08/2007
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