STAR CLINIC LLC NPI 1932608106

NPI Details

STAR CLINIC LLC is an urogynecology and reconstructive pelvic surgery in Peoria, AZ. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. STAR CLINIC LLC NPI is 1932608106. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14155 N 83RD AVE STE 138
PEORIA, AZ
ZIP 85381-652
Phone: (623) 271-8666
Fax: (623) 271-9229

The provider's authorized official is Tara Yeganeh .
The authorized official title is Practice Manager and has the following contact phone number (623) 271-8666.

The CLIA number assigned to this NPI record is 03D2147170 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2018 and was last updated on 4/27/2025.

Taxonomy Codes

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