BRADY STARK

SPRINGFIELD, MO
NPI1356768840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2014008807)
Enumeration Date2014-03-24
Last Update Date2016-01-28
Business Address
-- BRADY STARK
440 E TAMPA ST
SPRINGFIELD, MO 65806-1131
Phone number: 417-831-0150
Mailing Address
-- BRADY STARK
440 E TAMPA ST
SPRINGFIELD, MO 65806-1131
Phone number: 417-831-0150
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