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Individual

DR. PAUL STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9500 GILMAN DR, MAIL CODE 9114, LA JOLLA, CA 92093-5004
(858) 552-8585
Mailing address
9500 GILMAN DR, MAIL CODE 9114, LA JOLLA, CA 92093-5004
(858) 552-8585

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A42370
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A423700
CA
Enumeration date
07/08/2006
Last updated
07/08/2007
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