BRIAN STARK

URGENT CARE ENTERPRISE LLC

Dr BRIAN STARK is a male medical professional, specializing in Physician Assistant. He graduated in 2015.

Contact

URGENT CARE ENTERPRISE LLC

5304 CANE RIDGE RD
CANE RIDGE
TN
370133839

Tel: 6158464545

BRIAN STARK Information

Npi 1801078654
Pac Id 0143310664
Professional Enrollment Id I20190503001871
Last Name STARK
First Name BRIAN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name URGENT CARE ENTERPRISE LLC
Group Practice Pac Id 5496998155
Number Of Group Practice Members 46
Line 1 Street Address 5304 CANE RIDGE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CANE RIDGE
State TN
Zip Code 370133839
Phone Number 6158464545
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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