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Organization
STEPHEN IRA STARK, M.D., INC
Active
Organization
STEPHEN IRA STARK, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE L PATRICK (CPA)
(916) 920-1604
Entity
Organization
Contact information
Practice address
2825 J ST, SUITE 235, SACRAMENTO, CA 95816-4300
(916) 446-3777
(916) 446-3788
Mailing address
2825 J ST, SUITE 235, SACRAMENTO, CA 95816-4300
(916) 446-3777
(916) 446-3788
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G60200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G602000
—
CA
Enumeration date
07/08/2009
Last updated
02/16/2010
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