Gerald Elmer Stark

NPI #1184501991 in Signal Mountain, Tennessee

Provider Information

NPI Number: 1184501991
Entity Type: Individual
Name: Gerald Elmer Stark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Enumeration Date: Aug 21, 2025
Last Updated: Aug 21, 2025

Practice Location

Address: 326 N PALISADES DR
City: Signal Mountain
State: Tennessee
ZIP Code: 37377-3041
Phone: (423) 889-1590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X
Prosthetist	224P00000X	Primary

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