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Individual
STEPHEN STARK
Active
Individual
STEPHEN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G60200
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G60200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G602000
—
CA
01
—
A53563
UPIN
CA
Enumeration date
06/09/2006
Last updated
07/21/2022
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