Alyssa Dawn Stark

NPI #1609201110 in Searcy, Arkansas

Provider Information

NPI Number: 1609201110
Entity Type: Individual
Name: Alyssa Dawn Stark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 4, 2013
Last Updated: Aug 12, 2014

Practice Location

Address: 3204 E MOORE AVE
City: Searcy
State: Arkansas
ZIP Code: 72143-4826
Phone: (501) 268-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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