| Doctor Name: | DR. JEREMY STRANGE |
| NPI Number: | 1023256120 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 7414873-0501 |
| Business Practice Address: | 175 N 100 W Ste N134 Vernal, UT - 840782049 |
| Business Phone Number: | 4357892062 |
| Business Fax Number: | 4357892063 |
| Mailing Address: | 175 N 100 W, Ste N134 VERNAL |
| State: | UT |
| Postal Code: | 840782049 |
| Phone Number: | 4357892062 |
| Fax Number: | 4357892063 |
| NPI Enumeration Date: | 01/27/2009 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 7414873-0501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |