Brady Stark
Brady Stark is a Physician Assistant in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2014.
- Licensed in
- MO
- In the registry since
- 2014
Practice location Address checks out
440 E Tampa StSpringfield, MO 65806-1131
Phone: (417) 831-0150
Fax: (417) 447-0570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2014008807 (MO) |
|---|
Record details
| NPI number | 1356768840 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 24, 2014 |
| Last updated in NPPES | January 28, 2016 |
| Mailing address | 440 E Tampa St, Springfield, MO 65806-1131 |
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