Organization
SPARKS MEDICAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA COX (CBO SUPPORT MANAGER)
(479) 709-7057
Entity
Organization
Contact information
Practice address
1501 S WALDRON RD, STE 107, FORT SMITH, AR 72903-2574
(479) 573-7980
(479) 573-7981
Mailing address
PO BOX 2420, FORT SMITH, AR 72902-2420
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AZ
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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