NPI Profile for Dr T G STARK in PENSACOLA, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Radiology |
213ER0200X | 48 | Podiatry | |
Sports Medicine |
213ES0000X | 48 | Podiatry | |
Surgery, Foot |
213ES0131X | 48 | Podiatry |
| NPI # | 1750460341 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 11/03/2006 | |
| Last updated | 05/10/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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T G STARK
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