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Individual

JEFFREY C. STROSNIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1740 GRANDE BLVD SE, SUITE B, RIO RANCHO, NM 87124-1799
(505) 892-3434
(505) 891-2402
Mailing address
8801 HORIZON BLVD NE, SUITE 360, ALBUQUERQUE, NM 87113-1533
(505) 828-4923
(505) 213-0103

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
404
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410047679
RRB MEDICARE RAILROAD
NM
05
647654
AZ
01
NM00P945
BC BS OF NM
NM
05
Z8057
NM
Enumeration date
09/12/2005
Last updated
04/25/2008
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