NPI 1407051683

Spark, INC

Organisation Point of Service Winchester, VA

Practice location

Address: 2017 S Loudoun St, Winchester, VA 22601-3612
Phone: (540) 665-0571
Fax: (540) 667-7439

Authorised official

Name: Ronald Lee Comer
Title: President
Phone: (540) 665-0571

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Virginia →

Registry record

NPI: 1407051683
Entity type: Organization
NPI issued: 18 Jun 2007
Record last updated: 22 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.