Robert Stark

NPI #1518520188 in Ninilchik, Alaska

Provider Information

NPI Number: 1518520188
Entity Type: Individual
Name: Robert Stark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 18, 2019
Last Updated: Apr 18, 2019

Practice Location

Address: 15765 KINGSLEY RD.
City: Ninilchik
State: Alaska
ZIP Code: 99639
Phone: (907) 420-4713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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