Individual
STEPHEN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY AVE STE 104, SACRAMENTO, CA 95825-6504
(916) 425-0404
(916) 678-6762
Mailing address
88 COVERED BRIDGE RD, CARMICHAEL, CA 95608-5218
(916) 425-0404
(916) 678-6762
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G60200
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G60200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G602000
—
CA
01
—
A53563
UPIN
CA
Enumeration date
06/09/2006
Last updated
07/21/2022
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