Organization
STARKS MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN K GAMBLE M.D. (PRESIDENT)
(909) 625-0661
Entity
Organization
Contact information
Practice address
5153 HOLT BLVD, SUITE B2, MONTCLAIR, CA 91763-4837
(909) 625-0661
(909) 625-7761
Mailing address
5153 HOLT BLVD, SUITE B2, MONTCLAIR, CA 91763-4837
(909) 625-0661
(909) 625-7761
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
A76121
CA
208D00000X
General Practice Physician
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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