Organization
SPARKS RADIOLOGY GROUP LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL A PIERCE M.D. (PRESIDENT)
(775) 355-5021
Entity
Organization
Contact information
Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 356-4900
Mailing address
PO BOX 21209, RENO, NV 89515-1209
(775) 355-5021
(775) 356-5590
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016811
—
NV
Enumeration date
05/09/2007
Last updated
11/19/2021
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