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1245450790
STANLEY N STARK
ALBUQUERQUE, NM
NPI
1245450790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NM 64-12)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- STANLEY N STARK MD
2501 BUENA VISTA DR SE
ALBUQUERQUE, NM 87106-4260
Phone number: 505-923-5356
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Mailing Address
-- STANLEY N STARK MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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