Individual
ERIK SCOTT STARK
Active
Individual
ERIK SCOTT STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A62553
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A62553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A95886
STATE LICENSE
CA
01
—
CP8020
MEDICARE RAILROAD
CA
05
—
ZZZ72841Z
—
CA
Enumeration date
03/21/2007
Last updated
01/29/2020
Update your record
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