MEDICARE: MARGARET A. STARK PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant		AZ

General Provider Information

NPI Number	:	1023020229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET A. STARK PA-C

Provider Business Mailing Address
First Line	:	9500 E IRONWOOD SQUARE DR STE 110
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4582
Country	:	US
Telephone Number	:	480-948-8400
Fax Number	:	480-948-8401

Provider Business Practice Location Address
First Line	:	9500 E IRONWOOD SQUARE DR STE 110
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4582
Country	:	US
Telephone Number	:	480-948-8400
Fax Number	:	480-948-8401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/21/2022

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Directions to “ MARGARET A. STARK PA-C” Practice Location

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