NPI 1689781783

George Stark, MD

Practitioner Urology Physician Lafayette, CO

Practice location

Address: 2594 Trailridge Dr E, Lafayette, CO 80026-3186
Phone: (303) 449-7740

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 28666 (CO)

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Registry record

NPI: 1689781783
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.