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NPI Profile for BRETT E STARK in PATUXENT RIVER, MD.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1407594682 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 05/26/2022 | |
| Last updated | 05/17/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRETT E STARK
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BRETT E STARK, DO