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Organization
BRETT STARK DPM PC
Active
Organization
BRETT STARK DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT S STARK DPM (OWNER)
(334) 466-1401
Entity
Organization
Contact information
Practice address
785 N DEAN RD, SUITE 100, AUBURN, AL 36830-4033
(334) 466-1401
(334) 466-1433
Mailing address
300 N DEAN RD, SUITE 5, AUBURN, AL 36830-4404
(334) 466-1401
(334) 466-1433
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
225
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4318200001
MEDICARE
AL
01
—
480033606
RAILROAD MEDICARE
AL
01
—
51503568
BCBS
AL
Enumeration date
12/13/2006
Last updated
10/26/2020
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