Provider Demographics
NPI:1083607873
Name:DRS STROH & BUTLER PA
Entity Type:Organization
Organization Name:DRS STROH & BUTLER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:STROH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:301-663-6861
Mailing Address - Street 1:7101 GUILFORD DR
Mailing Address - Street 2:#204
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-5193
Mailing Address - Country:US
Mailing Address - Phone:301-663-6861
Mailing Address - Fax:301-663-0095
Practice Address - Street 1:7101 GUILFORD DR
Practice Address - Street 2:#204
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-5193
Practice Address - Country:US
Practice Address - Phone:301-663-6861
Practice Address - Fax:301-663-0095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-26
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0697580002Medicare NSC
MD306LMedicare PIN