Individual
DR. CLIFFORD STRUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
1000 DES PERES RD STE 110, DES PERES, MO 63131-2050
(314) 942-8880
Mailing address
777 S NEW BALLAS RD STE 119W, SAINT LOUIS, MO 63141-8715
(314) 942-8880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2017038041
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
2017038041
MO
207R00000X
Internal Medicine Physician
2017038041
MO
208D00000X
General Practice Physician
Primary
2017038041
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017038041
MISSOURI BOARD OF HEALING ARTS
MO
05
—
220050391
—
MO
Enumeration date
10/25/2017
Last updated
12/11/2024
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