Vickie Stark
MD | Pediatrics | Female
Vickie Stark, MD is a Las Vegas, Nevada based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Vickie Stark is
4750 W Oakey Blvd, Las Vegas, Nevada - 89102-1535. She can be contacted on phone at
702-877-8600.
Vickie Stark is a sole proprietor of her business.
NPI number (Unique professional ID) for Vickie Stark is
1740385913 which was assigned by NPPES on 13 Sep, 2006 and it was last updated on 06 Jun, 2016.
Vickie Stark license number is
11270 for Pediatrics (208000000X) in Nevada.
Vickie Stark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Vickie Stark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Vickie Stark |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Vickie Stark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4750 W Oakey Blvd
Las Vegas, NV, 89102-1535
United States |
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| Phone Number : | 702-877-8600 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740385913 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Sep, 2006 |
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| Last Updated On : | 06 Jun, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vickie Stark are as mentioned. Primary taxonomy code for Vickie Stark, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 11270 | NV |
Legacy Identifiers:
Other legacy medical identifiers of Vickie Stark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100505591 | MEDICAID | NV | |
| 1740385913 | MEDICAID | NV | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 15645
Las Vegas, NV, 89114-5645
United States |
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| Phone Number : | 702-877-5306 |
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| Fax Number : | 702-252-4906 |
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Business Location:
Patients can refer following map for directions to
Vickie Stark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.