Individual
DR. STEPHEN KOJI SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
34 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73139-8510
(405) 488-0750
(405) 488-0761
Mailing address
34 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73139-8510
(405) 488-0750
(405) 488-0761
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4559
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200194380A
—
OK
Enumeration date
01/15/2008
Last updated
10/08/2010
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