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1083224521
CARTER JAMES STARK
FLAGSTAFF, AZ
NPI
1083224521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ LPT-31271)
Enumeration Date
2020-08-07
Last Update Date
2023-08-22
Business Address
CARTER JAMES STARK PT
7810 N US HIGHWAY 89
FLAGSTAFF, AZ 86004-6255
Phone number: 928-522-8375
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Mailing Address
CARTER JAMES STARK PT
1200 N BEAVER ST ATTN: PAYER CREDENTIALING
FLAGSTAFF, AZ 86001-3118
Phone number: 928-213-6235
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