| Germaine D Strother, Md Inc | |
|
7197 Brockton Suite 1 Riverside CA 92506-2637 | |
| (951) 682-4560 | |
| (951) 682-4535 |
| Full Name | Germaine D Strother, Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7197 Brockton, Riverside, California |
| Authorized Official Name and Position | Germaine D. Strother (PRESIDENT/CEO) |
| Authorized Official Contact | 9516824560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Germaine D Strother, Md Inc 7197 Brockton Suite 1 Riverside CA 92506-2637 Ph: (951) 682-4560 | Germaine D Strother, Md Inc 7197 Brockton Suite 1 Riverside CA 92506-2637 Ph: (951) 682-4560 |
| NPI Number | 1144277419 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 09/10/2010 |
| Medicare PECOS PAC ID | 7214052372 |
|---|---|
| Medicare Enrollment ID | O20100913000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144277419 | NPI | - | NPPES |
| 00G422560 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Germaine D Strother |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427040922 PECOS PAC ID: 1355377334 Enrollment ID: I20050711000902 |
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