Organization
MARK L STARR MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STARR (PRESIDENT)
(805) 496-6699
Entity
Organization
Contact information
Practice address
2220 LYNN RD, 105, THOUSAND OAKS, CA 91360-1904
(805) 496-6699
Mailing address
2220 LYNN RD, 105, THOUSAND OAKS, CA 91360-1904
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G40513
CA
207RP1001X
Pulmonary Disease Physician
G40513
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G40513
CA
Other
Enumeration date
06/06/2010
Last updated
06/06/2010
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