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Contact Information

STARK INDUSTRIES MEDICAL
6647 BROOKLYN HEIGHTS ST
LAS VEGAS, NV89166-8020
 Phone: 702-250-9022
 Fax: 702-685-6896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STARK INDUSTRIES MEDICAL

NPI # 1194047282
LBN Legal business name STARK INDUSTRIES MEDICAL
Authorized official BRIAN STARK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/17/2010
Last updated 02/17/2010 - About 16 years ago
Identifiers
NV License # PA1068
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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