Organization
RICHARD FREDRICK STARKEY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD FREDERICK STARKEY MD (OWNER)
(208) 587-9736
Entity
Organization
Contact information
Practice address
806 NORTH 6TH EAST, MOUNTAIN HOME, ID 83647-0427
(208) 587-9736
(208) 587-7905
Mailing address
805 N 6TH E, PO BOX 427, MOUNTAIN HOME, ID 83647-2207
(208) 587-9736
(208) 587-7905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP382A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805234400
—
ID
Enumeration date
03/12/2007
Last updated
03/28/2014
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