Individual
PAUL J. STRECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-2064
(417) 820-8716
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2004025280
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159881758
—
AR
05
—
428403802
—
MO
Enumeration date
02/15/2007
Last updated
07/08/2010
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