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NPI Code Detail

MEDICARE: KARIN M STARR PA

MEDICARE:   KARIN M STARR  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA15951CA

General Provider Information

NPI Number : 1780675272
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIN M STARR PA
Provider Business Mailing Address
First Line : 5500 UNIVERSITY PKWY
Second Line : CSUSB STUDENT HEALTH CENTER
City : SAN BERNARDINO
State : CA
Zip : 92407-2318
Country : US
Telephone Number : 909-537-5241
Fax Number : 909-537-5241
Provider Business Practice Location Address
First Line : 5500 UNIVERSITY PKWY
Second Line : CSUSB STUDENT HEALTH CENTER
City : SAN BERNARDINO
State : CA
Zip : 92407-2318
Country : US
Telephone Number : 909-537-5241
Fax Number : 909-537-5241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 03/02/2015

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