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Individual
NEIL BRANDAN STARK
Active
Individual
NEIL BRANDAN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6829
CA
207Q00000X
Family Medicine Physician
2OA6829
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
OP61153857
WA
Other
Enumeration date
02/05/2007
Last updated
06/09/2026
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