Individual
RICHARD STARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6019 N 80TH WAY, SCOTTSDALE, AZ 85250-5866
(480) 315-0832
Mailing address
6019 N 80TH WAY, SCOTTSDALE, AZ 85250-5866
(480) 315-0832
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT130
AZ
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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