Healthcare Provider Details

I. General information

NPI: 1841212347
Provider Name (Legal Business Name): ROBERT STRICKLAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 05/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 LOMAS BLVD NE 5TH FLOOR
ALBUQUERQUE NM
87106-2745
US

IV. Provider business mailing address

933 BRADBURY DR. SE SUITE 2222
ALBUQUERQUE NM
87106-4375
US

V. Phone/Fax

Practice location:
  • Phone: 505-925-6643
  • Fax: 505-272-8018
Mailing address:
  • Phone: 505-272-3120
  • Fax: 505-272-8060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number73-215
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: