Doctor Name: | DR. BILLY W STRAIT |
NPI Number: | 1275534786 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 101657 |
Business Practice Address: | 800 W Jefferson St Kirksville, MO - 635011443 |
Business Phone Number: | 6606262304 |
Business Fax Number: | 6606262626 |
Mailing Address: | 800 W Jefferson St, KIRKSVILLE |
State: | MO |
Postal Code: | 635011443 |
Phone Number: | 6606262304 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 11/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 101657 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |