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STARK INDUSTRIES MEDICAL NPI 1194047282


NPI Information

NPI: 1194047282
Provider Name: STARK INDUSTRIES MEDICAL
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
6647 BROOKLYN HEIGHTS ST
LAS VEGAS, NV
ZIP 89166
Phone: (702) 250-9022
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STARK INDUSTRIES MEDICAL is a surgical physician assistant in Las Vegas, NV. STARK INDUSTRIES MEDICAL NPI is 1194047282. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6647 BROOKLYN HEIGHTS ST
LAS VEGAS, NV
ZIP 89166-020
Phone: (702) 250-9022
Fax: (702) 685-6896

The provider's authorized official is Brian William Stark .
The authorized official title is President and has the following contact phone number (702) 250-9022.

The enumeration date for this NPI number is 2/17/2010 and was last updated on 2/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA1068NEVADANo
2363AS0400XPhysician AssistantSurgicalPA1068NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.