Healthcare Provider Details

I. General information

NPI: 1215165410
Provider Name (Legal Business Name): SARAH E STARNES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SAINT ANTHONYS WAY
ALTON IL
62002-4568
US

IV. Provider business mailing address

1 SAINT ANTHONYS WAY
ALTON IL
62002-4568
US

V. Phone/Fax

Practice location:
  • Phone: 618-465-2571
  • Fax: 314-977-7615
Mailing address:
  • Phone: 618-465-2571
  • Fax: 314-977-7615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License Number036138971
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number036138971
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: