Julie Rachel Stark D.O.

NPI 1689718017 - Family Medicine - 207Q00000X

NPI Details
NPI 1689718017
Gender Female
Enumeration Date 02/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2125 E THOUSAND OAKS BLVD
SUITE A
THOUSAND OAKS CA, 91362-2942, US
Phone (805) 374-1420
Fax (805) 374-1423
Business Location
5731 RIDGEBROOK DR
AGOURA CA, 91301-4619, US
Phone (818) 706-9700
Fax (805) 374-1423
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number 2OA6747
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According to our database, Dr. Julie Rachel Stark D.O. NPI is 1689718017, taxonomy code is 207Q00000X and license number is 2OA6747, license state is located at California. Julie Rachel Stark D.O. physically located at 2125 E Thousand Oaks Blvd, Thousand Oaks CA, 91362-2942. NPI Number Julie Rachel Stark D.O. has the Individual type.

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1689718017 NPI number is provided on an as is basis without warranty of any kind. 1689718017 is maintained by the National Plan & Provider Enumeration System. The contents of Julie Rachel Stark D.O. are for informational purposes only.