| Larry D. Stark, D.O., P.C. | |
|
3201 W Peoria Ave #a100 Phoenix AZ 85029-4608 | |
| (602) 866-1501 | |
| (602) 866-2216 |
| Full Name | Larry D. Stark, D.O., P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 3201 W Peoria Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Larry D Stark (PHYSICIAN) |
| Authorized Official Contact | 6028661501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D. Stark, D.O., P.C. 3201 W Peoria Ave #a100 Phoenix AZ 85029-4608 Ph: (602) 866-1501 | Larry D. Stark, D.O., P.C. 3201 W Peoria Ave #a100 Phoenix AZ 85029-4608 Ph: (602) 866-1501 |
| NPI Number | 1073851481 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073851481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1754 (Arizona) | Primary |
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