Individual
RYAN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 CHILDRENS WAY, 5121 DOCTORS' OFFICE TOWER, NASHVILLE, TN 37232-9075
(615) 936-3968
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD49976
TN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
49976
TN
Other
Enumeration date
04/23/2007
Last updated
03/28/2022
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