Stark, Travis Jack

Stark, Travis Jack is an individual health care provider with primary practice located at 2503 S Avenue A Ste 2 , Yuma AZ 85364-7174. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Stark, Travis Jack can be contacted via phone (928) 783-0092.

Contact Information

Primary practice address
2503 S Avenue A Ste 2 Yuma AZ 85364-7174
Phone: (928) 783-0092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 311 Oklahoma
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5315051097 Michigan
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000983 Arizona

Profile Details

NPI number 1487949384
LBN Legal business name Stark, Travis Jack
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated Jun 5th, 2024 - about 2 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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