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NPI Code Detail

MEDICARE: RICHARD E STAERKEL MD

MEDICARE:   RICHARD E STAERKEL  MD
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
1207VG0400XGynecology Physician11867OK

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 : 1982607982
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD E STAERKEL MD
Provider Business Mailing Address
First Line : PO BOX 844737
Second Line :
City : DALLAS
State : TX
Zip : 75284-4737
Country : US
Telephone Number : 903-416-1726
Fax Number : 903-416-1701
Provider Business Practice Location Address
First Line : 615 E OKLAHOMA
Second Line : SUITE 203
City : ENID
State : OK
Zip : 73701
Country : US
Telephone Number : 580-242-3870
Fax Number : 580-242-4046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 11/21/2013

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Directions to “ RICHARD E STAERKEL MD” Practice Location

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