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Individual
DR. TRAVIS JACK STARK
Active
Individual
DR. TRAVIS JACK STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000983
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301505
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
311
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
5315051097
MI
Other
Enumeration date
06/20/2011
Last updated
09/17/2026
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