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Stephen Ira Stark, M.d., Inc
Specialist in Sacramento, California
NPI 1902035181

Stephen Ira Stark, M.d., Inc is a Specialist based in Sacramento, CA. Stephen Ira Stark, M.d., Inc practices in Sacramento, CA. The NPI Number for Stephen Ira Stark, M.d., Inc is 1902035181 and holds a License No. G60200 (California).

The current practice location address for Stephen Ira Stark, M.d., Inc is 2825 J St, Sacramento, CA and can be reached out via phone at 916-446-3777 and via fax at 916-446-3788.

Location: 2825 J St, Sacramento, CA, 95816-4300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902035181
Provider Name
Stephen Ira Stark, M.d., Inc
Credential
Provider Entity Type
Organization
Address
2825 J St, Sacramento, CA, 95816-4300
Phone Number
916-446-3777
Fax Number
916-446-3788
Provider Enumeration Date
07/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G602000 05 CA
institution
Provider Business Practice Location Address Details
Address
2825 J St
City
Sacramento
State
California
Zip
95816-4300
Phone Number
916-446-3777
Fax Number
916-446-3788
person
Provider Business Mailing Address Details
Address
2825 J St
City
Sacramento
State
California
Zip
95816-4300
Phone Number
916-446-3777
Fax Number
916-446-3788
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G60200 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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