Individual
STEPHEN S SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7930 FROST ST, STE 300, SAN DIEGO, CA 92123-2737
(858) 279-8763
Mailing address
2575 FENTON PKWY, #318, SAN DIEGO, CA 92108-6776
(304) 276-8234
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
22525
WV
208800000X
Urology Physician
Primary
A103568
CA
Other
Enumeration date
07/02/2007
Last updated
10/23/2014
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