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Individual

PAUL TRYGVE STRATTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2624 EDITH AVE, REDDING, CA 96001-3043
(530) 241-3316
(530) 241-6319
Mailing address
2624 EDITH AVE, REDDING, CA 96001-3043
(530) 241-3316
(530) 241-6319

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G75419
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G754190
CA
01
34007857
RAILROAD MEDICARE
CA
01
CP5241
RAILROAD MEDICARE GROUP
CA
05
ZZZ78528Z
CA
Enumeration date
11/21/2006
Last updated
02/28/2008
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