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Kristan Sparks, O.D
NPI 1174723332 · on the registry since 2007
Practice
- Address
- 169 S Emerson Ave
Shelley, ID 83274 - Phone
- (208) 357-5733
- Fax
- (208) 357-2240
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-24
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