STANLEY N STARK

ALBUQUERQUE, NM
NPI1245450790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NM  64-12)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
-- STANLEY N STARK MD
2501 BUENA VISTA DR SE
ALBUQUERQUE, NM 87106-4260
Phone number: 505-923-5356
Mailing Address
-- STANLEY N STARK MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356