Provider Demographics
NPI:1063683043
Name:STRAYHORN, EUGENE HOWARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:HOWARD
Last Name:STRAYHORN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2944
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-6290
Mailing Address - Country:US
Mailing Address - Phone:406-837-4357
Mailing Address - Fax:406-837-3957
Practice Address - Street 1:191 JEWEL BASIN COURT
Practice Address - Street 2:UNIT 2A
Practice Address - City:BIGFORK
Practice Address - State:MT
Practice Address - Zip Code:59911-6290
Practice Address - Country:US
Practice Address - Phone:406-837-4357
Practice Address - Fax:406-837-3957
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT6985207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine