Provider Demographics
NPI:1720075971
Name:STARR, PHILIP A III (DO)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:A
Last Name:STARR
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:100 DEBARTOLO PL STE 200
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6095
Mailing Address - Country:US
Mailing Address - Phone:330-729-8146
Mailing Address - Fax:330-965-5229
Practice Address - Street 1:821 MCCARTNEY RD
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-5000
Practice Address - Country:US
Practice Address - Phone:330-743-4440
Practice Address - Fax:330-743-4488
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2024-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34.007632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2263545Medicaid
ST4053031Medicare ID - Type Unspecified
OH2263545Medicaid