Individual
PRATISTHA STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10807 BIG BEND RD STE 1, KIRKWOOD, MO 63122-6054
(918) 814-3996
(432) 614-2599
Mailing address
10807 BIG BEND RD STE 1, KIRKWOOD, MO 63122-6054
(918) 814-3996
(432) 614-2599
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2018020028
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018020028
ACTIVE LICENCE
MO
Enumeration date
06/29/2012
Last updated
09/20/2019
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