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DR. MATTHEW STEVEN STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
36065 SANTA FE AVE, ATTN: RESIDENCY CENTER, ER BOX 276, FORT HOOD, TX 76544-5095
(254) 553-4614
Mailing address
10214 ALAMOSA LN, TEMPLE, TX 76502-3923
(845) 549-0694

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
328014
NY
207P00000X
Emergency Medicine Physician
Primary
S5505
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/17/2017
Last updated
03/25/2024
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