Individual
BRIAN ALAN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5604 FRIENDSHIP RD, HALETHORPE, MD 21227
(410) 242-8728
(410) 242-8728
Mailing address
5604 FRIENDSHIP RD, HALETHORPE, MD 21227
(410) 242-8728
(410) 242-8728
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R083302
MD
Other
Enumeration date
07/04/2006
Last updated
10/25/2011
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