| Doctor Name: | DR. JEREMY MICHAEL STROHMAYER |
| NPI Number: | 1366889487 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | IN PROCESS |
| Business Practice Address: | 511 Chindt Blvd Building 300 27soss/osm Cannon Afb, NM - 88103 |
| Business Phone Number: | 4252683260 |
| Business Fax Number: | |
| Mailing Address: | 511 Chindt Blvd Building 300, 27soss/osm CANNON AFB |
| State: | NM |
| Postal Code: | 88103 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2013 |
| NPI Last Update Date: | 07/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | IN PROCESS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |