Dale M Stark in Elk Grove - Pediatrics

Dale M Stark - NPI 1598862526

Dale M Stark is a Pediatrics in Elk Grove, California. Dale M Stark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dale M Stark is 1598862526. The last update date is 2015-05-12.

Dale M Stark's current location address is 9281 Office Park Cir, Elk Grove, California. You can contact this provider via phone number 9166915999 and fax number 9166916717. The mailing address for Dale M Stark is 9281 Office Park Cir, Elk Grove, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale M Stark
Address 9281 Office Park Cir, Elk Grove, California
Phone Number 9166915999
Fax Number 9166916717
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1598862526
Provider Enumeration Date 2006-09-20
Last Updated Date 2015-05-12

Provider Mailing Address Detail

Address 9281 Office Park Cir
City Elk Grove
State California (CA)
Post Code 957588068
Phone Number 9166915999
Fax Number 9166916717

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No A41495
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A414950 CA --

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FAQs about Dale M Stark

What is the unique 10-digit identifier code assigned to Dale M Stark by the Centers for Medicare & Medicaid Services?

The Dale M Stark has been issued the NPI (National Provider Identifier) 1598862526 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Dale M Stark's facilities are geographically located?

The facilities of Dale M Stark are physically situated at the following location: 9281 Office Park Cir, Elk Grove, CA, 957588068.

What is Dale M Stark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Dale M Stark is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

On what date did the Dale M Stark receive its 1598862526 assignment from the Centers for Medicare & Medicaid Services?

The Dale M Stark was assigned its 1598862526 by the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date was the information regarding Dale M Stark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Dale M Stark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-05-12.

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