SPARKS PSYCHIATRY, LLC is a psychiatric/mental health nurse practitioner in Surprise, AZ. SPARKS PSYCHIATRY, LLC NPI is 1730776477. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
15331 W BELL RD STE 212
SURPRISE, AZ
ZIP 85374-104
Phone: (480) 388-2400
Fax: (346) 250-4317
The provider's authorized official is Oluwatoyin Iseyemi .
The authorized official title is Owner and has the following contact phone number (480) 388-2400.
The CLIA number assigned to this NPI record is 45D2212575 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/29/2020 and was last updated on 12/29/2020.