Basic Information
Provider Information
NPI: 1851346068
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STROBRIDGE
FirstName: MICHAEL
MiddleName: KEVIN
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2420
Address2:  
City: SALINAS
State: CA
PostalCode: 939022420
CountryCode: US
TelephoneNumber: 8316491000
FaxNumber:  
Practice Location
Address1: 450 E ROMIE LN
Address2:  
City: SALINAS
State: CA
PostalCode: 939014029
CountryCode: US
TelephoneNumber: 8317591840
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2006
LastUpdateDate: 04/08/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA 17316CAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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