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Search › Idaho › Student in an Organized Health Care Education/Training Program

Michael Sparks

NPI 1093547820 · on the registry since 2024

Practice

Address
921 S 8th Ave Stop 8253
Pocatello, ID 83209
Phone
(208) 282-4276
Clinicians at this address
201

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Diagnostic Radiology Physician
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho