Basic Information
Provider Information
NPI: 1902858699
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRICKLAND
FirstName: JEFFREY
MiddleName: D
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2635 G ST
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933012813
CountryCode: US
TelephoneNumber: 6616331500
FaxNumber: 6616332700
Practice Location
Address1: 842 S. AKERS STREET
Address2:  
City: VISALIA
State: CA
PostalCode: 932778309
CountryCode: US
TelephoneNumber: 5597404094
FaxNumber: 5597404100
Other Information
ProviderEnumerationDate: 05/17/2006
LastUpdateDate: 03/14/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA81465CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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