Individual
DR. RICHARD FREDERICK STARKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-9736
(208) 587-7905
Mailing address
805 N 6TH E, PO BOX 427, MOUNTAIN HOME, ID 83647-2207
(208) 587-9736
(208) 587-7905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3395
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10006011
REGENCE, BLUE SHIELD
ID
01
—
57406
BLUE CROSS
ID
Enumeration date
08/23/2006
Last updated
07/08/2007
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