Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D0068324 | MD |
N | 207RC0000X | Internist - Cardiovascular Disease | MD037174 | DC |
NPI | 1013042134 |
---|---|
Provider Name | Dr. James Bruce Strait III |
First Address | Dpo, AE 09845-0419 |
Second Address | Baltimore, MD 21225-1233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 29/04/2014 |