Individual provider · Type 1 NPI

Jeffrey Ryan Sparks, DO

Otolaryngology/Facial Plastic Surgery Physician · Macomb, IL

NPI number 1780935197 Active

About NPI 1780935197

Jeffrey Ryan Sparks, DO's National Provider Identifier is 1780935197, issued on Sep 25, 2012. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Macomb, IL. The record was last updated on Feb 28, 2014.