person
Brett S Stark, DPM
Primary Podiatric Medicine Podiatrist in Auburn, Alabama
NPI 1841203957

Brett S Stark is a Primary Podiatric Medicine Podiatrist based in Auburn, AL and is specialized in Primary Podiatric Medicine. Brett S Stark practices in Auburn, AL and has the professional credentials of DPM. The NPI Number for Brett S Stark is 1841203957 and holds a License No. 225 (Alabama).

The current practice location address for Brett S Stark is 890 N Dean Rd Ste 400, Auburn, AL and can be reached out via phone at 334-466-1401 and via fax at 334-641-0075. You can also correspond with Brett S Stark through the mailing address at 300 N DEAN RD, AUBURN, AL - 36830-4404 (mailing address contact number: 334-466-1401).

Location: 890 N Dean Rd Ste 400, Auburn, AL, 36830-4404
person
Provider Profile Details
NPI Number
1841203957
Provider Name
Brett S Stark
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
890 N Dean Rd Ste 400, Auburn, AL, 36830-4404
Phone Number
334-466-1401
Fax Number
334-641-0075
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051503568 01 AL BLUE CROSS BLUE SHIELD
480033606 01 RR MCR
051529739 01 BLUE CROSS BLUE SHIELD
051530652 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
890 N Dean Rd Ste 400
City
State
Zip
36830-9440
Phone Number
334-466-1401
Fax Number
334-641-0075
person
Provider Business Mailing Address Details
Address
890 N Dean Rd Ste 400
City
State
Zip
36830-9440
Phone Number
334-466-1401
Fax Number
334-641-0075
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
225 (Alabama)
Definition
Definition to come...
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