MEDICARE: BRIAN L STRAUSS MD, PHD

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
1	207ZP0101X	Anatomic Pathology Physician	108561	MO

General Provider Information

NPI Number	:	1437179306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN L STRAUSS MD, PHD

Provider Business Mailing Address
First Line	:	975 SEVEN HILLS DR
Second Line	:	APT 4421
City	:	HENDERSON
State	:	NV
Zip	:	89052-4314
Country	:	US
Telephone Number	:	702-461-3010
Fax Number	:

Provider Business Practice Location Address
First Line	:	4230 BURNHAM AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5408
Country	:	US
Telephone Number	:	702-733-3704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/08/2007

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