NPI 1013057488

Jay L Sparks, MD

Practitioner Family Medicine Physician Springfield, MO

Practice location

Address: 3231 S National Ave Suite 220, Springfield, MO 65807-7304
Phone: (417) 820-7450
Fax: (417) 820-7455
Mailing address: PO Box 2580, Springfield, MO 65801-2580

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 104280 (MO)

Other Family Medicine providers in Missouri →

Registry record

NPI: 1013057488
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2007
Record last updated: 2 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.