Individual
RANDY W STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2343
(808) 242-2465
Mailing address
3916 STATE ST, #300, SANTA BARBARA, CA 93105-5602
(805) 563-3011
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A73186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A731860
—
CA
Enumeration date
07/21/2005
Last updated
07/27/2009
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