TRAVIS JACK STARK

YUMA, AZ
NPI1487949384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: AZ  000983)
Additional Taxonomies213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: OK  311)
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: MI  5315051097)
Enumeration Date2011-06-20
Last Update Date2024-06-05
Business Address
Dr. TRAVIS JACK STARK D.P.M.
2503 S AVENUE A STE 2
YUMA, AZ 85364-7174
Phone number: 928-783-0092
Mailing Address
Dr. TRAVIS JACK STARK D.P.M.
PO BOX 669
YUMA, AZ 85366-2329
Phone number: 928-247-6516