Organization
SPARKS ASSOCIATES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD SPARKS MD (OWNER)
(310) 956-9980
Entity
Organization
Contact information
Practice address
3111 FITE CIR STE 103, SACRAMENTO, CA 95827-1813
(916) 362-5112
Mailing address
3111 FITE CIR STE 103, SACRAMENTO, CA 95827-1813
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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