| Jeffrey Ray Stark, DC | |
|
11638 W Florissant Ave, Florissant, MO 63033-6723 | |
| (314) 838-8780 | |
| (314) 838-8161 |
| Full Name | Jeffrey Ray Stark |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 27 Years |
| Location | 11638 W Florissant Ave, Florissant, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598863748 | NPI | - | NPPES |
| 399077 | Other | MO | HEALTHLINK |
| 627934 | Other | MO | ACN |
| 20140300 | Other | MO | U.S. DEPT OF LABOR |
| 126371 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6731 (Missouri) | Primary |
| Provider Name | Back & Neck Care Center Of North County Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700260254 PECOS PAC ID: 9032424759 Enrollment ID: O20150810002635 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Ray Stark, DC 11638 W Florissant Ave, Florissant, MO 63033-6723 Ph: (314) 838-8780 | Jeffrey Ray Stark, DC 11638 W Florissant Ave, Florissant, MO 63033-6723 Ph: (314) 838-8780 |
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