| Starks Md Llc | |
|
1919 Lathrop St Ste 204 Fairbanks AK 99701-5937 | |
| (907) 452-4822 | |
| (907) 452-4824 |
| Full Name | Starks Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1919 Lathrop St, Fairbanks, Alaska |
| Authorized Official Name and Position | Kenneth C Starks (PRESIDENT) |
| Authorized Official Contact | 9074524822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starks Md Llc 607 Old Steese Hwy Ste B314 Pmb# Fairbanks AK 99701-3131 Ph: (907) 452-4822 | Starks Md Llc 1919 Lathrop St Ste 204 Fairbanks AK 99701-5937 Ph: (907) 452-4822 |
| NPI Number | 1104269216 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104269216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3297 (Alaska) | Primary |
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