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Individual
DR. WAYNE DION STARKS
Active
Individual
DR. WAYNE DION STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
C5845
CA
2083X0100X
Occupational Medicine Physician
C50845
CA
208D00000X
General Practice Physician
Primary
C50845
CA
Other
Enumeration date
06/16/2006
Last updated
10/26/2021
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