Individual provider · Type 1 NPI

Travis Jack Stark, D.P.M.

Foot & Ankle Surgery Podiatrist · Lorton, VA

NPI number 1487949384 Active

Practice location

9010 Lorton Station Blvd Ste 270
Lorton, VA 22079-4798

Fax (540) 834-0363

Mailing address

PO Box 669
Yuma, AZ 85366-2329

Other practice locations

  • 14085 Crown Ct, Woodbridge, VA 22193-1458 · (540) 898-6500
  • 9010 Lorton Station Blvd Ste 270, Lorton, VA 22079-4798 · (540) 898-6500
  • 10304 Spotsylvania Ave Ste 410, Fredericksburg, VA 22408-8605 · (540) 898-6500
  • 4103 Lafayette Blvd Fl 2, Fredericksburg, VA 22408-4274 · (540) 898-6500

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X0103301505 (VA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1487949384

Travis Jack Stark, D.P.M.'s National Provider Identifier is 1487949384, issued on Jun 20, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lorton, VA. The record was last updated on Sep 17, 2026.