Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Sparks

Individual provider Diagnostic Radiology Physician · NPI 1093547820

Michael Sparks is a Diagnostic Radiology Physician in Pocatello, Idaho. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone: (208) 282-4276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 533723 (NC)

Record details

NPI number1093547820
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002

Other providers in Pocatello