Individual
MISTY K STROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
723 9TH AVENUE, HUNTINGTON, WV 25701
(304) 529-0645
Mailing address
P.O. BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21504
WV
208000000X
Pediatrics Physician
Primary
21504
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10042570
—
KY
05
—
2807716
—
WV
05
—
3810010692
—
WV
01
—
P00378448
MEDICARE-RR PROVIDER NUMBER
WV
Enumeration date
04/13/2006
Last updated
05/30/2024
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