Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 0101246917 | VA |
NPI | 1023372620 |
---|---|
Provider Name | Dr. Paul Sumner Strumph |
First Address | Moneta, VA 24121-3186 |
Second Address | Moneta, VA 24121-3186 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 27/06/2012 |