# HENRY B. STARKES, JR., MD, MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023243516
- **Authorized official:** DR. HENRY B STARKES JR. MD (PHYSICIAN)
- **Authorized official phone:** (916) 685-8122

## Contact information

- **Practice address:** 9914 JETMAR WAY, ELK GROVE, CA 95624-9408
- **Practice address phone:** (916) 685-8122
- **Practice address fax:** (916) 835-2615
- **Mailing address:** 9914 JETMAR WAY, ELK GROVE, CA 95624-9408
- **Mailing address phone:** (916) 685-8122
- **Mailing address fax:** (916) 835-2615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | G31686 | CA | Yes |

## Other

- **Enumeration date:** 05/27/2009
- **Last updated:** 05/27/2009