Organization
SPARKS FAMILY MEDICINE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT W SPARKS (ADMINISTRATOR)
(702) 813-7701
Entity
Organization
Contact information
Practice address
410 S RAMPART BLVD STE 390, LAS VEGAS, NV 89145-5749
(702) 722-2200
(702) 722-2201
Mailing address
410 S RAMPART BLVD STE 390, LAS VEGAS, NV 89145-5749
(702) 722-2200
(702) 722-2201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P07-02616-B-102535
NV
Other
Enumeration date
09/16/2006
Last updated
12/05/2023
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