Individual
THOMAS F STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3726 BROADWAY, SUITE 201, EVERETT, WA 98201-3787
(425) 317-9119
Mailing address
3726 BROADWAY, SUITE 201, EVERETT, WA 98201-3787
(425) 317-9119
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
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