Brian William Stark in Las Vegas - Physician Assistant
Brian William Stark - NPI 1801078654
Brian William Stark is a Physician Assistant in Las Vegas, Nevada. Brian William Stark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brian William Stark is 1801078654. The last update date is 2022-12-30.
Brian William Stark's current location address is 3196 S Maryland Pkwy Ste 425, Las Vegas, Nevada. You can contact this provider via phone number 7252050725. The mailing address for Brian William Stark is 3196 S Maryland Pkwy Ste 425, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian William Stark |
|---|---|
| Address | 3196 S Maryland Pkwy Ste 425, Las Vegas, Nevada |
| Phone Number | 7252050725 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1801078654 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2022-12-30 |
Provider Mailing Address Detail
| Address | 3196 S Maryland Pkwy Ste 425 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891092318 |
| Phone Number | 7252050725 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5123 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA1068 | NV | NV STATE LICENSE | |
| V114606 | NV | SMA MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brian William Stark by the Centers for Medicare & Medicaid Services?
The Brian William Stark has been issued the NPI (National Provider Identifier) 1801078654, 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 Brian William Stark?
The Brian William Stark is physically situated at 3196 S Maryland Pkwy Ste 425, in the city of Las Vegas, state of NV, with the postal code 891092318.
What is Brian William Stark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian William Stark is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When was the Brian William Stark's 1801078654 issued?
The Brian William Stark's 1801078654 was issued on 2007-12-04.
When was the Brian William Stark's information last updated?
The Brian William Stark's information was last updated on 2022-12-30.