Dr. Clifford Strupp
Internist Family Doctor General Practice Physician Family Doctor - Sports Medicine
777 S New Ballas Rd Ste 119w
Saint Louis
, Missouri 63141-8715
Dr. Clifford Strupp
Internist Family Doctor General Practice Physician Family Doctor - Sports Medicine
777 S New Ballas Rd Ste 119w
Saint Louis
, Missouri 63141-8715
(314) 942-8880
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
- Internist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Clifford Strupp
- 777 S New Ballas Rd Ste 119w
- Saint Louis, MO
- Zip : 63141-8715
- Phone : (314) 942-8880
Second Address
- Dr. Clifford Strupp
- 777 S New Ballas Rd Ste 119w
- Saint Louis, MO
- Zip : 63141-8715
- Phone : (314) 942-8880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 2017038041 | MO |
| N | 207QS0010X | Family Doctor - Sports Medicine | 2017038041 | MO |
| N | 207R00000X | Internist | 2017038041 | MO |
| N | 111NI0900X | Internist | 2017038041 | MO |
| Y | 208D00000X | General Practice Physician | 2017038041 | MO |
National Provider Identifier
| NPI | 1184136558 |
|---|---|
| Provider Name | Dr. Clifford Strupp |
| First Address | Saint Louis, MO 63141-8715 |
| Second Address | Saint Louis, MO 63141-8715 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2017 |
| Last Update Date | 25/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2017038041 | MISSOURI BOARD OF HEALING ARTS (01) | MO |
| 220050391 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.