person
Doyle G Stark JR., PAC
Medical Physician Assistant in Lawton, Oklahoma
NPI 1942295779

Doyle G Stark JR. is a Medical Physician Assistant based in Lawton, OK and is specialized in Medical. Doyle G Stark JR. practices in Lawton, OK and has the professional credentials of PAC. The NPI Number for Doyle G Stark JR. is 1942295779 and holds a License No. 491 (Oklahoma).

The current practice location address for Doyle G Stark JR. is 3401 W Gore Blvd, Lawton, OK and can be reached out via phone at 580-510-7037 and via fax at 580-510-7038. You can also correspond with Doyle G Stark JR. through the mailing address at PO BOX 785, LAWTON, OK - 73502 (mailing address contact number: 580-357-9984).

Location: 3401 W Gore Blvd, Lawton, OK, 73502
person
Provider Profile Details
NPI Number
1942295779
Provider Name
Doyle G Stark JR.
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
3401 W Gore Blvd, Lawton, OK, 73502
Phone Number
580-510-7037
Fax Number
580-510-7038
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA004912 01 OK MEDICARE ID
347459107 01 OK DOL
970007869 01 RAILROAD MEDICARE
100206310B 05 OK
institution
Provider Business Practice Location Address Details
Address
3401 W Gore Blvd
City
State
Zip
73505
Phone Number
580-510-7037
Fax Number
580-510-7038
person
Provider Business Mailing Address Details
Address
3401 W Gore Blvd
City
State
Zip
73505
Phone Number
580-510-7037
Fax Number
580-510-7038
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
491 (Oklahoma)
Definition
Definition to come...
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