# G REX STROUD JR MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stroud Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457607046
- **Authorized official:** G REX STROUD MD (OWNER)
- **Authorized official phone:** (812) 254-4399

## Contact information

- **Practice address:** 201 E MAIN ST, WASHINGTON, IN 47501-2970
- **Practice address phone:** (812) 254-4399
- **Practice address fax:** (812) 254-4473
- **Mailing address:** PO BOX 3276, EVANSVILLE, IN 47731-3276
- **Mailing address phone:** (812) 473-0181
- **Mailing address fax:** (812) 473-5822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01057059A | IN | Yes |
| 261QR1300X | Rural Health Clinic/Center | 01057059A | IN | — |

## Other

- **Enumeration date:** 08/01/2012
- **Last updated:** 01/04/2019
