| Eric R Stark, MD | |
|
Family Medicine, 835 East Fairhaven Avenue, Burlington, WA 98233-0329 | |
| (360) 856-7960 | |
| (360) 755-1405 |
| Full Name | Eric R Stark |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | Family Medicine, Burlington, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134198252 | NPI | - | NPPES |
| 8206153 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00033859 (Washington) | Primary |
| Entity Name | Peacehealth Medical Group - Sedro Woolley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407283179 PECOS PAC ID: 1456584036 Enrollment ID: O20140506001293 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric R Stark, MD 1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004 Ph: (360) 729-1462 | Eric R Stark, MD Family Medicine, 835 East Fairhaven Avenue, Burlington, WA 98233-0329 Ph: (360) 856-7960 |
Dr. Paul Christopher Creelman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 712 S Burlington Blvd, Burlington, WA 98233 Phone: 360-757-0027 Fax: 360-757-3698 | |
Dr. Michael Joseph Maidan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 E Fairhaven Ave, Burlington, WA 98233 Phone: 360-856-7960 | |
David Douglas Shilling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 712 S Burlington Blvd, Burlington, WA 98233 Phone: 360-757-0027 Fax: 360-757-3698 | |
Michael R Dillard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 E Fairhaven Ave, Burlington, WA 98233 Phone: 360-755-0641 Fax: 360-755-1405 | |
Dr. Stephen M Aldrich, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1030 E Fairhaven Avenue, Burlington, WA 98233 Phone: 360-755-0311 Fax: 360-755-1272 | |
Andria Anita Bloom, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1162 S. Burlington Boulevard, Burlington, WA 98233 Phone: 360-757-9030 Fax: 360-757-4501 |