Individual
DR. GLENN M STARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
425 COMMONWEALTH BLVD E, MARTINSVILLE, VA 24112-2014
(276) 632-2226
(276) 632-2395
Mailing address
425 COMMONWEALTH BLVD E, MARTINSVILLE, VA 24112-2014
(276) 632-2226
(276) 632-2395
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000930
VA
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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