Individual
RICHARD STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 JEFFERSON AVE # NFS120, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1030 JEFFERSON AVE # NFS120, MEMPHIS, TN 38104-2127
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86082962
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86082962
VETERANS AFFAIRS
OH
Enumeration date
05/21/2019
Last updated
05/21/2019
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