Organization
STARKS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH C STARKS M.D. (PRESIDENT)
(907) 452-4822
Entity
Organization
Contact information
Practice address
1919 LATHROP ST, STE 204, FAIRBANKS, AK 99701-5937
(907) 452-4822
(907) 452-4824
Mailing address
607 OLD STEESE HWY, STE B314 PMB#, FAIRBANKS, AK 99701-3131
(907) 452-4822
(907) 452-4824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3297
AK
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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