Provider Demographics
NPI:1902042971
Name:JOHN STROBEL
Entity Type:Organization
Organization Name:JOHN STROBEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:STROBEL
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:417-589-3053
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty