MATTHEW T STARK

ROSEBURG, OR
NPI1174700934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies363AM0700X Physician Assistant, Medical
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-01-23
Last Update Date2020-06-11
Business Address
MATTHEW T STARK PA-C.
1937 W HARVARD AVE
ROSEBURG, OR 97471-2720
Phone number: 541-677-7200
Mailing Address
MATTHEW T STARK PA-C.
2570 NW EDENBOWER BLVD STE 100
ROSEBURG, OR 97471-6214
Phone number: 541-677-7200