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NPI Code Detail

MEDICARE: KURT STROM M.D.

MEDICARE: KURT STROM 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
1208800000XUrology Physician036118667IL

General Provider Information

NPI Number : 1336395334
Entity Type Code : Individual
Provider Name (Legal Business Name) : KURT STROM M.D.
Provider Business Mailing Address
First Line : 1813 CHEYENNE AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80538-4244
Country : US
Telephone Number : 970-203-2475
Fax Number : 970-203-2476
Provider Business Practice Location Address
First Line : 1813 CHEYENNE AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80538-4244
Country : US
Telephone Number : 970-203-2475
Fax Number : 970-203-2476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2008
Last Update Date : 02/05/2014

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Directions to “ KURT STROM M.D.” Practice Location

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