Provider Demographics
NPI:1720046154
Name:STROHL, MARIE ELIZABETH (DO)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:ELIZABETH
Last Name:STROHL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 555191
Mailing Address - Street 2:BUILDING H-100
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5191
Mailing Address - Country:US
Mailing Address - Phone:760-725-1620
Mailing Address - Fax:
Practice Address - Street 1:5010 GOLONDRINA WAY UNIT 64
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-4547
Practice Address - Country:US
Practice Address - Phone:760-842-1928
Practice Address - Fax:760-842-1928
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34008483207P00000X
CA20A-9498207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2565326Medicaid
OH2565326Medicaid
I32025Medicare UPIN
ST4160881Medicare ID - Type Unspecified