| Jennifer Stroh Do Llc | |
|
2139 N 12th St Suite 2 Grand Junction CO 81501-2901 | |
| (970) 256-1664 | |
| (970) 256-1707 |
| Full Name | Jennifer Stroh Do Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2139 N 12th St, Grand Junction, Colorado |
| Authorized Official Name and Position | Jennifer Stroh (OWNER) |
| Authorized Official Contact | 9702561664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Stroh Do Llc 2139 N 12th St Suite 2 Grand Junction CO 81501-2901 Ph: (970) 256-1664 | Jennifer Stroh Do Llc 2139 N 12th St Suite 2 Grand Junction CO 81501-2901 Ph: (970) 256-1664 |
| NPI Number | 1295166072 |
|---|---|
| Provider Enumeration Date | 12/04/2013 |
| Last Update Date | 10/02/2015 |
| Medicare PECOS PAC ID | 1951534692 |
|---|---|
| Medicare Enrollment ID | O20140502000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295166072 | NPI | - | NPPES |
| 53307577 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 41942 (Colorado) | Primary |
| Provider Name | Jennifer J Stroh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912014879 PECOS PAC ID: 5597784728 Enrollment ID: I20100115000593 |
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