Individual
DR. AMANDA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 E LEIGH ST DEPARTMENT OF RADIATION ONCOLOGY, RICHMOND, VA 23291-5051
(804) 828-7232
(804) 828-7981
Mailing address
1001 E LEIGH ST, RICHMOND, VA 23298-5004
(804) 828-7232
(804) 828-7981
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101260011
VA
2085R0001X
Radiation Oncology Physician
Primary
0101260011
VA
Other
Enumeration date
06/06/2013
Last updated
06/27/2025
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