MICHAEL SPARKS
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1093547820- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 921 S 8TH AVE STOP 8253, POCATELLO, ID, 832090002
- Phone
- (208) 282-4276
Specialties & Taxonomies
Radiology, Diagnostic Radiology
License: NC #533723
Student in an Organized Health Care Education/Training Program
Primary