MEDICARE: DR. ERIC ANDREW STRAND MD

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
1	207V00000X	Obstetrics & Gynecology Physician	2012019900	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225012727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC ANDREW STRAND MD

Provider Business Mailing Address
First Line	:	660 S EUCLID AVE
Second Line	:	MSC 8064-37-1005
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1010
Country	:	US
Telephone Number	:	314-362-4211
Fax Number	:	314-222-6245

Provider Business Practice Location Address
First Line	:	4901 FOREST PARK AVE
Second Line	:	DEPT OBGYN, STE 710
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1495
Country	:	US
Telephone Number	:	314-362-4211
Fax Number	:	888-315-6494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	11/15/2021

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