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NPI Code Detail

MEDICARE: DR. HENRY BERT STARKES JR. M.D.

MEDICARE: DR. HENRY BERT STARKES JR. M.D.
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
1207P00000XEmergency Medicine PhysicianG31686CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902838410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY BERT STARKES JR. M.D.
Provider Business Mailing Address
First Line : 9914 JETMAR WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-9408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 199 E WEBSTER ST
Second Line :
City : COLUSA
State : CA
Zip : 95932-2954
Country : US
Telephone Number : 530-458-3283
Fax Number : 530-458-3215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 06/19/2008

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