Individual
DR. GERALD REX STROUD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-8490
(630) 570-5779
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01057059A
IN
207Q00000X
Family Medicine Physician
Primary
01057059A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000617069
ANTHEM BCBS
IN
05
—
200301610
—
IN
01
—
P01085780
RAILROAD MEDICARE
—
Enumeration date
09/13/2005
Last updated
10/25/2022
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