Starks Medical Group a Professional Corporation

NPI #1649714734 in Montclair, California

Provider Information

NPI Number: 1649714734
Entity Type: Organization
Organization Name: Starks Medical Group a Professional Corporation
Primary Specialty: Radiology - Diagnostic Radiology
Enumeration Date: Dec 8, 2016
Last Updated: Dec 8, 2016

Practice Location

Address: 5153 HOLT BLVD
Address 2: SUITE B2
City: Montclair
State: California
ZIP Code: 91763-4837
Phone: (909) 625-0661

Authorized Official

Name: DR. BRIAN K GAMBLE, M.D.
Title: PRESIDENT
Phone: (909) 625-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
General Practice	208D00000X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X	Primary

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