Organization · Type 2 NPI

Sparks Medical Foundation

Family Medicine Physician · Greenwood, AR

NPI number 1104920644 Active

Practice location

1480 W Center St
Greenwood, AR 72936-3449

Fax (479) 996-5386

Mailing address

PO Box 2420
Fort Smith, AR 72902-2420

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

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About NPI 1104920644

Sparks Medical Foundation's National Provider Identifier is 1104920644, issued on Sep 12, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Greenwood, AR. The record was last updated on Sep 11, 2025.