Individual
DR. TARA STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 TELEGRAPH AVE, BERKELEY, CA 94705-2018
(510) 843-4613
(510) 843-4652
Mailing address
PO BOX 83, LAFAYETTE, CA 94549
(925) 984-4117
(925) 385-0052
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
G85398
CA
207W00000X
Ophthalmology Physician
Primary
G85398
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
G85398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G853980
—
CA
Enumeration date
03/09/2007
Last updated
07/21/2017
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