Individual
THOMAS F STARK
Active
Individual
THOMAS F STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00042555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172186
LABOR AND INDUSTRY
WA
05
—
8360216
—
WA
01
—
MD00042555
STATE LICENSE NUMBER
WA
01
—
P00048799
RAILROAD MEDICARE
WA
Enumeration date
06/08/2006
Last updated
01/13/2008
Update your record
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