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Individual

DR. EDWARD DELANCY SPARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1135 ONTARIO CT, SIDNEY, OH 45365-8197
(937) 492-7905
(937) 492-7905
Mailing address
1135 ONTARIO CT, SIDNEY, OH 45365-8197
(937) 492-7905
(937) 492-7905

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35. 027519
OH

Other

Enumeration date
01/04/2012
Last updated
01/04/2012
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