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NPI Code Detail

MEDICARE: STRATO3 HEALTH LLC

MEDICARE: STRATO3 HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207W00000XOphthalmology Physician
3207X00000XOrthopaedic Surgery Physician
4207Y00000XOtolaryngology Physician
5208800000XUrology Physician
6363L00000XNurse Practitioner
7174400000XSpecialist

General Provider Information

NPI Number : 1215426200
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRATO3 HEALTH LLC
Provider Business Mailing Address
First Line : 2120 W INA RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85741-5501
Country : US
Telephone Number : 520-395-0471
Fax Number :
Provider Business Practice Location Address
First Line : 2120 W INA RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85741-5501
Country : US
Telephone Number : 520-395-0471
Fax Number :
Authorized Official
Title or Position : COO
Name : JOHN W WEBSTER
Credential :
Telephone Number : 520-907-5879
Provider Enumeration Date : 05/04/2018
Last Update Date : 05/04/2018

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Directions to “STRATO3 HEALTH LLC ” Practice Location

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