| Doyle G Stark Jr, PAC | |
|
3401 W Gore Blvd, Lawton, OK 73505 | |
| (580) 510-7037 | |
| (580) 510-7038 |
| Full Name | Doyle G Stark Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 3401 W Gore Blvd, Lawton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942295779 | NPI | - | NPPES |
| PA004912 | Other | OK | MEDICARE ID |
| 347459107 | Other | OK | DOL |
| 970007869 | Other | RAILROAD MEDICARE | |
| 100206310B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 491 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Doyle G Stark Jr, PAC Po Box 785, Lawton, OK 73502 Ph: (580) 357-9984 | Doyle G Stark Jr, PAC 3401 W Gore Blvd, Lawton, OK 73505 Ph: (580) 510-7037 |
Mr. Thomas Lee Mills, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 3106 Nw Arlington Ave, Lawton, OK 73505 Phone: 580-250-4278 | |
Kaylee Madison Mcintosh, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5606 Sw Lee Blvd Ste 306, Lawton, OK 73505 Phone: 580-531-4006 | |
Lonnie Scholl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4920 Sw Lee Blvd, Lawton, OK 73505 Phone: 580-536-8844 Fax: 580-536-8818 | |
Mrs. Crystal Krey, RN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507 Phone: 580-354-5000 | |
Sherryl A. Evans, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3106 Nw Arlington Ave, Lawton, OK 73505 Phone: 580-250-4278 | |
Ms. Marolyn Jean Pearson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4411 W Gore Blvd, Suite A2, Lawton, OK 73505 Phone: 580-355-0575 Fax: 580-248-1725 | |
Christopher Aquies Taylor, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4301 Wilson St, Lawton, OK 73503 Phone: 580-558-3612 |