David A. Sparks in Bristol - Diagnostic Radiology

David A. Sparks - NPI 1659363943

David A. Sparks is a Diagnostic Radiology in Bristol, Tennessee. David A. Sparks practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for David A. Sparks is 1659363943. The last update date is 2013-12-20.

David A. Sparks's current location address is 3053 W State St, Bristol, Tennessee. You can contact this provider via phone number 4239681144. The mailing address for David A. Sparks is 3053 W State St, Bristol, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name David A. Sparks
Address 3053 W State St, Bristol, Tennessee
Phone Number 4239681144
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1659363943
Provider Enumeration Date 2005-08-22
Last Updated Date 2013-12-20

Provider Mailing Address Detail

Address 3053 W State St
City Bristol
State Tennessee (TN)
Post Code 376201720
Phone Number 4239681144
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 36170
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7214758 VA --
4036109 TN BCBS TN
6469708900 KY --
245789 VA ANTHEM (BCBS VA)
R06903 TN JOHN DEERE
300130692 PGBA (RR MEDICARE)

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FAQs about David A. Sparks

What is the unique identifier code issued to David A. Sparks by the Centers for Medicare & Medicaid Services (CMS)?

The David A. Sparks has been assigned the NPI (National Provider Identifier) 1659363943. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of David A. Sparks?

The David A. Sparks is situated at 3053 W State St, in the city of Bristol, state of TN, with the zip code 376201720.

What is the David A. Sparks's specialty and taxonomy code?

The David A. Sparks's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date did David A. Sparks receive its 1659363943 assignment from the Centers for Medicare & Medicaid Services?

The David A. Sparks was assigned its 1659363943 on 2005-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to David A. Sparks most recently updated or revised?

The details related to David A. Sparks, including its address, specialty, and other relevant information, were last updated or revised on 2013-12-20.

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