Organization · NPI-2

Daniel Strub, MD, INC.

Family Medicine · Poway, CA

NPI number1972817633
StatusActive
Last updated in NPPESJan 7, 2011

Details

NPI
1972817633
Entity type
Organization (NPI-2)
Legal business name
Daniel Strub, MD, INC.
Organization subpart
No
Enumeration date
Aug 4, 2010
Last updated
Jan 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA25554CAYes

Practice location

12620 Monte Vista Rd
Suite E
Poway, CA 92064-2531

Phone 858-451-2080 · Fax 858-451-2372

Mailing address

12620 Monte Vista Rd
Suite E
Poway, CA 92064-2531

Phone 858-451-2080 · Fax 858-451-2372

Authorized official

Daniel Strub
Owner
8584512080

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