Randy W Stark MD INC

NPI #1295970143 in Wailuku, Hawaii

Provider Information

NPI Number
1295970143
Entity Type
Organization
Organization Name
Randy W Stark MD INC
Primary Specialty
Emergency Medicine
Enumeration Date
Dec 6, 2008
Last Updated
Jun 16, 2009

Practice Location

Address
221 MAHALANI ST
State
Hawaii
ZIP Code
96793-2526
Phone
(208) 463-5100

Authorized Official

Name
DR. RANDY W STARK, MD
Title
PRESIDENT
Phone
(805) 563-3011

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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