Individual
PATRICIA K STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HIS
Contact information
Practice address
206 4TH AVE S, CLINTON, IA 52732-4311
(563) 242-7852
Mailing address
206 4TH AVE S, CLINTON, IA 52732-4311
(563) 242-7852
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
00312
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699871947
—
IA
Enumeration date
01/07/2009
Last updated
01/07/2009
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