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NPI Code Detail

MEDICARE: MR. JOHN R STRUNK MD

MEDICARE:  MR. JOHN R STRUNK  MD
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
1207R00000XInternal Medicine Physician0101-034692VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5290001539OTHERVAR.R. MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1087971OTHERVABLUECROSS/BLUESHIELD
243144OTHERVASENTERA/OPTIMA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962403824
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN R STRUNK MD
Provider Business Mailing Address
First Line : PO BOX 246
Second Line : 412 DURANT STREET
City : SOUTH HILL
State : VA
Zip : 23970-0246
Country : US
Telephone Number : 434-447-2898
Fax Number : 434-447-3456
Provider Business Practice Location Address
First Line : 6439 GARNERS FERRY RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1638
Country : US
Telephone Number : 803-776-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 01/02/2018

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