Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD428286 | PA |
Y | 207QS0010X | Family Doctor - Sports Medicine | 35.090206 | OH |
N | 207QS0010X | Family Doctor - Sports Medicine | MD428286 | PA |
NPI | 1255398327 |
---|---|
Provider Name | Dr. William Bradley Strauch |
First Address | Chillicothe, OH 45601-9031 |
Second Address | Chillicothe, OH 45601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 15/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2748370 | (05) | OH |