Individual
DR. TYLER G SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
008350
GA
207T00000X
Neurological Surgery Physician
69109
AZ
207T00000X
Neurological Surgery Physician
Primary
91972
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127769
—
AZ
Enumeration date
06/08/2016
Last updated
03/03/2025
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