Individual
MARK J STROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
Mailing address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0990919-CRNA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38124211
—
CO
01
—
C15283
RR MEDICARE
CO
Enumeration date
07/10/2011
Last updated
12/14/2015
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