Individual
MR. ALEX JAMES STARK-VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
272 MAYFAIR PLAZA SHOPPING CTR, FLORISSANT, MO 63033-8009
(314) 859-1234
(314) 859-1235
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 859-1234
(314) 859-1235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020011688
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420106651
—
MO
Enumeration date
07/15/2020
Last updated
04/18/2025
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