Individual
MR. DONALD RICHARD STRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8262 ATLEE RD, MOB III SUITE 205, MECHANICSVILLE, VA 23116-1816
(804) 559-0194
(804) 559-0198
Mailing address
8262 ATLEE RD, MOB III SUITE 205, MECHANICSVILLE, VA 23116-1816
(804) 559-0194
(804) 559-0198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840626
VA
363AS0400X
Surgical Physician Assistant
PA13000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
01
—
C06695
GROUP PTAN
VA
01
—
C06778
GROUP PTAN
VA
Enumeration date
01/29/2007
Last updated
09/16/2020
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