Individual
REBECCA T. STRAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
2500 OHIO AVE, GALLIPOLIS, OH 45631-1656
(740) 446-1642
Mailing address
494 BUHL MORTON RD, GALLIPOLIS, OH 45631-8524
(740) 446-6575
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
35035123
OH
208D00000X
General Practice Physician
Primary
35035123
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280799
—
OH
Enumeration date
09/25/2005
Last updated
02/10/2011
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