Individual
DR. KIEFER MCQUADE STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4101
Mailing address
2901 N MANCHESTER PL, BOISE, ID 83704-5636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OP61421917
WA
Other
Enumeration date
04/17/2022
Last updated
08/28/2023
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