ROBERT STARK NPI 1518520188

NPI Information

Robert Stark is a peer specialist in Ninilchik, AK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Robert Stark NPI is 1518520188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15765 KINGSLEY RD.
NINILCHIK, AK
ZIP 99639
Phone: (907) 420-4713

The enumeration date for this NPI number is 4/18/2019 and was last updated on 4/18/2019.

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:

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