Organization
PINNACLE SURGICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE DAWN STARK M.D. (M.D. / OWNER)
(307) 460-2055
Entity
Organization
Contact information
Practice address
2710 HARNEY ST, SUITE 204, LARAMIE, WY 82072-2884
(307) 460-2055
(307) 460-2058
Mailing address
2710 HARNEY ST, SUITE 204, LARAMIE, WY 82072-2884
(307) 460-2055
(307) 460-2058
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1040 (TEMPORARY)
WY
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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