Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 2005028297 | MO |
Y | 213ER0200X | Radiology | 2005028297 | MO |
NPI | 1023135969 |
---|---|
Provider Name | Dr. Alana M. Starr |
First Address | Overland, MO 63114-1245 |
Second Address | Overland, MO 63114-1245 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2007 |
Last Update Date | 08/07/2007 |