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NPI Code Detail

MEDICARE: MR. ROBERT A STROBL CRNA

MEDICARE: MR. ROBERT A STROBL CRNA
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
1367500000XCertified Registered Nurse AnesthetistNA3260CA

General Provider Information

NPI Number : 1417943069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT A STROBL CRNA
Provider Business Mailing Address
First Line : PO BOX 7096
Second Line :
City : STOCKTON
State : CA
Zip : 95267-0096
Country : US
Telephone Number : 209-956-7725
Fax Number : 209-956-7733
Provider Business Practice Location Address
First Line : 2755 HERNDON AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93611-6800
Country : US
Telephone Number : 559-324-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 01/28/2015

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