Christopher Jon Stark, | |
400 W 16th St, Pueblo, CO 81003-2745 | |
(719) 595-2218 | |
(719) 595-7994 |
Full Name | Christopher Jon Stark |
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Gender | Male |
Speciality | Internal Medicine |
Location | 400 W 16th St, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013936764 | NPI | - | NPPES |
64125065 | Medicaid | KY | |
9000147685 | Medicaid | CO |
Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
Entity Name | Hospitalist Associates Of Lexington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982833596 PECOS PAC ID: 9638215767 Enrollment ID: O20091005000069 |
Mailing Address | Practice Location Address |
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Christopher Jon Stark, Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Christopher Jon Stark, 400 W 16th St, Pueblo, CO 81003-2745 Ph: (719) 595-2218 |
Dr. Christopher John Calcagno, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N. Grand Ave., Ste. 300, Pueblo, CO 81003 Phone: 719-562-2001 Fax: 719-562-2742 | |
Greg Alan Bowman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 500, Pueblo, CO 81003 Phone: 719-545-0663 Fax: 719-595-7903 | |
Lauren E. Sullenberger, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097 | |
Peter Lochow, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1593 | |
Dr. Raj Vashistha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd., Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1592 | |
Thomas Christian Stjernholm, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1593 |