Provider Demographics
NPI:1659517613
Name:STROBEL, JOHN R (CFA)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:R
Last Name:STROBEL
Suffix:
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 STARVEY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:MO
Mailing Address - Zip Code:65632-8606
Mailing Address - Country:US
Mailing Address - Phone:417-589-3053
Mailing Address - Fax:
Practice Address - Street 1:520 STARVEY CREEK RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:MO
Practice Address - Zip Code:65632-8606
Practice Address - Country:US
Practice Address - Phone:417-589-3053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant