Provider Demographics
NPI:1235830340
Name:STARR, MARK R
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:R
Last Name:STARR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 HILLTOP DR STE 200
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-3874
Mailing Address - Country:US
Mailing Address - Phone:530-618-5623
Mailing Address - Fax:530-618-5635
Practice Address - Street 1:KINGS VIEW SUNRISE MOUNTAIN WELLNESS CENTER
Practice Address - Street 2:1300 HILLTOP DRIVE, SUITE 200, REDDING, CA
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-1915
Practice Address - Country:US
Practice Address - Phone:530-618-5623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator