Healthcare Provider Details

I. General information

NPI: 1902013055
Provider Name (Legal Business Name): AMY CARSON-STRNAD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHIEF EDDIE HOFFMAN HIGHWAY SUITE 3000
BETHEL AK
99559
US

IV. Provider business mailing address

23844 DEEGAN DR
HILL CITY SD
57745-6539
US

V. Phone/Fax

Practice location:
  • Phone: 907-543-6300
  • Fax:
Mailing address:
  • Phone: 605-574-2018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4857
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: