Doctor Name: | ROGER A STRONG |
NPI Number: | 1023168036 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 6706 |
Business Practice Address: | 150 W Crest St Escondido, CA - 920251706 |
Business Phone Number: | 7607372050 |
Business Fax Number: | 7607963782 |
Mailing Address: | 150 W Crest St, ESCONDIDO |
State: | CA |
Postal Code: | 920251706 |
Phone Number: | 7607372050 |
Fax Number: | 7607963782 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 08/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |