Individual
CHAD VAL STRATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, DO
Contact information
Practice address
252 W 25TH ST, ERIE, PA 16544
(814) 452-5000
Mailing address
232 W 25TH ST, ERIE, PA 16544-0001
(814) 452-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT019441
PA
363AM0700X
Medical Physician Assistant
50.006022
OH
363AM0700X
Medical Physician Assistant
MA057622
PA
Other
Enumeration date
08/17/2015
Last updated
06/20/2019
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