Stark, George

Stark, George is an individual health care provider with primary practice located at 2594 Trailridge Dr E , Lafayette CO 80026-3186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Stark, George can be contacted via phone (303) 449-7740.

Contact Information

Primary practice address
2594 Trailridge Dr E Lafayette CO 80026-3186
Phone: (303) 449-7740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 28666 Colorado

Profile Details

NPI number 1689781783
LBN Legal business name Stark, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689781783 NPPES
Colorado MEDICAID 01286665

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