Provider Demographics
NPI:1396815296
Name:STRICKLER, JEFFREY HAROLD (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:HAROLD
Last Name:STRICKLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 YELLOWTAIL RD
Mailing Address - Street 2:P.O. BOX 161815
Mailing Address - City:BIG SKY
Mailing Address - State:MT
Mailing Address - Zip Code:59716-1815
Mailing Address - Country:US
Mailing Address - Phone:406-995-4768
Mailing Address - Fax:
Practice Address - Street 1:2125 YELLOWTAIL RD
Practice Address - Street 2:
Practice Address - City:BIG SKY
Practice Address - State:MT
Practice Address - Zip Code:59716-1815
Practice Address - Country:US
Practice Address - Phone:406-995-4768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3866208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics