Organization
LARRY D. STARK, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY D STARK DO (PHYSICIAN)
(602) 866-1501
Entity
Organization
Contact information
Practice address
3201 W PEORIA AVE, #A100, PHOENIX, AZ 85029-4608
(602) 866-1501
(602) 866-2216
Mailing address
3201 W PEORIA AVE, #A100, PHOENIX, AZ 85029-4608
(602) 866-1501
(602) 866-2216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1754
AZ
Other
Enumeration date
01/18/2013
Last updated
03/20/2013
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