Individual
DR. AMRITA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
971 11TH AVE, LONGVIEW, WA 98632-2503
(360) 571-1771
Mailing address
971 11TH AVE, LONGVIEW, WA 98632-2503
(360) 571-1771
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A116564
CA
208000000X
Pediatrics Physician
MD.MD.60215684
WA
Other
Enumeration date
07/16/2008
Last updated
11/09/2014
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