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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SPARKMD

Active Organization

SPARKMD is a Primary Care Clinic organization located in BOISE, Idaho. NPI 1427443613 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · BOISE, ID

Registration Details

NPI Number
1427443613
Provider Type
Organization
NPI Issued
Apr 3, 2015 (11.401152332142 yrs)
Last Updated
Apr 21, 2015
License
M-10803 (ID)

Practice Information

Address
302 W IDAHO ST
BOISE, ID, 837026039
Browse ID providers · Browse ZIP 83702
Phone
2083694590
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.