James E Stark in Corvallis - Diagnostic Radiology

James E Stark - NPI 1457379612

James E Stark is a Diagnostic Radiology in Corvallis, Oregon. James E Stark practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for James E Stark is 1457379612. The last update date is 2007-11-08.

James E Stark's current location address is Po Box 547, Corvallis, Oregon. You can contact this provider via phone number 5417585047 and fax number 5417583713. The mailing address for James E Stark is Po Box 547, Corvallis, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name James E Stark
Address Po Box 547, Corvallis, Oregon
Phone Number 5417585047
Fax Number 5417583713
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1457379612
Provider Enumeration Date 2006-07-17
Last Updated Date 2007-11-08

Provider Mailing Address Detail

Address Po Box 547
City Corvallis
State Oregon (OR)
Post Code 973390547
Phone Number 5417585047
Fax Number 5417583713

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 24884
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
274823 OR --

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FAQs about James E Stark

What is the unique 10-digit identification code assigned to James E Stark by the Centers for Medicare & Medicaid Services?

The James E Stark has been issued the NPI (National Provider Identifier) 1457379612, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of James E Stark?

The James E Stark is physically situated at Po Box 547, in the city of Corvallis, state of OR, with the postal code 973390547.

What is James E Stark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The James E Stark's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date was the 1457379612 assigned to James E Stark?

The James E Stark was issued its 1457379612 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to James E Stark most recently updated or revised?

The details related to James E Stark, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-08.

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