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NPI Code Detail

MEDICARE: DR. JOHN MARSHALL STRONG M.D.

MEDICARE:  DR. JOHN MARSHALL STRONG  M.D.
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 PhysicianG85954CA
2207KA0200XAllergy PhysicianG85954CA

Other Identifiers

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

General Provider Information

NPI Number : 1043248719
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MARSHALL STRONG M.D.
Provider Business Mailing Address
First Line : 1699 N IMPERIAL AVE
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-1320
Country : US
Telephone Number : 760-352-2551
Fax Number : 888-631-5150
Provider Business Practice Location Address
First Line : 1699 N IMPERIAL AVE
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-1320
Country : US
Telephone Number : 760-352-2551
Fax Number : 888-631-5150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 04/09/2025

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Directions to “ DR. JOHN MARSHALL STRONG M.D.” Practice Location

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