Stark, Doyle G

Stark, Doyle G is an individual health care provider with primary practice located at 3401 W Gore Blvd , Lawton OK 73505. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Stark, Doyle G can be contacted via phone (580) 510-7037.

Contact Information

Primary practice address
3401 W Gore Blvd Lawton OK 73505
Phone: (580) 510-7037
Fax: (580) 510-7038
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 491 Oklahoma

Profile Details

NPI number 1942295779
LBN Legal business name Stark, Doyle G
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Aug 4th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942295779 NPPES
Oklahoma Other PA004912 MEDICARE ID
Oklahoma Other 347459107 MEDICARE ID
Oklahoma Other 970007869 MEDICARE ID
Oklahoma MEDICAID 100206310B MEDICARE ID

Popular Providers