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NPI Code Detail

MEDICARE: NEIL BRANDAN STARK D.O.

MEDICARE: NEIL BRANDAN STARK D.O.
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
1207Q00000XFamily Medicine Physician20A6829CA
2207QA0401XAddiction Medicine (Family Medicine) PhysicianOP61153857WA
3207Q00000XFamily Medicine Physician2OA6829CA

General Provider Information

NPI Number : 1548309651
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEIL BRANDAN STARK D.O.
Provider Business Mailing Address
First Line : PO BOX 2802
Second Line :
City : BELLINGHAM
State : WA
Zip : 98227-2802
Country : US
Telephone Number : 530-514-0904
Fax Number : 866-493-2923
Provider Business Practice Location Address
First Line : 127 RALEY BLVD STE 100
Second Line :
City : CHICO
State : CA
Zip : 95928-8347
Country : US
Telephone Number : 530-514-0904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 06/09/2026

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1689643876 — DR. STEPHEN GILBERT MORRIS MD
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Directions to “ NEIL BRANDAN STARK D.O.” Practice Location

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