Larry D. Stark, D.o., P.c. | |
3201 W Peoria Ave #a100 Phoenix AZ 85029-4608 | |
(602) 866-1501 | |
(602) 866-2216 |
Full Name | Larry D. Stark, D.o., P.c. |
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Speciality | Family Medicine |
Location | 3201 W Peoria Ave, Phoenix, Arizona |
Authorized Official Name and Position | Larry D Stark (PHYSICIAN) |
Authorized Official Contact | 6028661501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Larry D. Stark, D.o., P.c. 3201 W Peoria Ave #a100 Phoenix AZ 85029-4608 Ph: (602) 866-1501 | Larry D. Stark, D.o., P.c. 3201 W Peoria Ave #a100 Phoenix AZ 85029-4608 Ph: (602) 866-1501 |
NPI Number | 1073851481 |
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Provider Enumeration Date | 01/18/2013 |
Last Update Date | 03/20/2013 |
Identifier | Type | State | Issuer |
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1073851481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1754 (Arizona) | Primary |
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