MS. Sally Magdalen Stark, NP
NPI #1528040995 in Peterson Afb, Colorado
Provider Information
- NPI Number
- 1528040995
- Entity Type
- Individual
- Name
- MS. Sally Magdalen Stark, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Women's Health
- Credential
- NP
- Enumeration Date
- Nov 18, 2005
- Last Updated
- Mar 27, 2012
Practice Location
- Address
- 110 W ENT AVE
- City
- Peterson Afb
- State
- Colorado
- ZIP Code
- 80914-1595
- Phone
- (719) 556-0510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Women's Health — Women's Health |
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