Provider Demographics
NPI:1831422492
Name:STRAUB, MARGO ANN (PA)
Entity type:Individual
Prefix:
First Name:MARGO
Middle Name:ANN
Last Name:STRAUB
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2214 CANTERBURY DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2386
Mailing Address - Country:US
Mailing Address - Phone:785-623-2360
Mailing Address - Fax:785-623-2371
Practice Address - Street 1:2214 CANTERBURY DR
Practice Address - Street 2:SUITE 204
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2386
Practice Address - Country:US
Practice Address - Phone:785-623-2360
Practice Address - Fax:785-623-2371
Is Sole Proprietor?:No
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KST02596363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant