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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RICHARD JAMES STORK, MD

Active

MR. RICHARD JAMES STORK, MD is a Interventional Vascular Surgery healthcare provider located in ELKIN, North Carolina. NPI 1205897956 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · ELKIN, NC

Registration Details

NPI Number
1205897956
Provider Type
Individual
Gender
Male
NPI Issued
Mar 31, 2006 (20.382860636004 yrs)
Last Updated
Jan 14, 2014
Licenses
MD0000021916 (TN)
047537 (GA)
2007-00624 (NC)
2008006962 (MO)
2008006962 (NC)

Practice Information

Address
110 DUTCHMAN CT
ELKIN, NC, 286212237
Browse NC providers · Browse ZIP 28621
Phone
3368355330
Fax
3368355337
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Vascular Surgery
Additional Specialty
Vascular Surgery
Additional Specialty
Vascular Surgery

Other Interventional Vascular Surgery Providers in ELKIN, NC

Name Credential NPI
EMIDIO MICHAEL NOVEMBRE DO 1750308664
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.