Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 20A12797 | CA |
N | 207Q00000X | Family Doctor | DO2001 | NV |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 007530 | AZ |
NPI | 1215226667 |
---|---|
Provider Name | Dr. Jamie Rae Sparrow |
First Address | Phoenix, AZ 85014-5698 |
Second Address | Phoenix, AZ 85014-5698 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2011 |
Last Update Date | 08/12/2021 |