Basic Information
Provider Information
NPI: 1730117987
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRIGENZ
FirstName: ANDREW
MiddleName: T
NamePrefix: MR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 24503
Address2:  
City: SEATTLE
State: WA
PostalCode: 981240503
CountryCode: US
TelephoneNumber: 4254514141
FaxNumber: 4254514144
Practice Location
Address1: 39000 BOB HOPE DR
Address2:  
City: RANCHO MIRAGE
State: CA
PostalCode: 922703221
CountryCode: US
TelephoneNumber: 7603403911
FaxNumber: 7603403911
Other Information
ProviderEnumerationDate: 06/28/2006
LastUpdateDate: 04/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XG64397CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XMD00028233WAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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