Individual
TERESA NICOLE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. (06/2009)
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 476-1000
Mailing address
233 HUGO ST, SAN FRANCISCO, CA 94122-2603
(415) 203-1820
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
A124855
CA
207VM0101X
Maternal & Fetal Medicine Physician
A124855
CA
Other
Enumeration date
03/20/2009
Last updated
07/21/2022
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