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Individual

MR. MARK D STRASSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1125 W IRON SPRINGS RD, PRESCOTT, AZ 86305-1623
(928) 778-9190
(928) 778-3005
Mailing address
1125 W IRON SPRINGS RD, PRESCOTT, AZ 86305-1623
(928) 778-9190
(928) 778-3005

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
28538
AZ
208600000X
Surgery Physician
28538
AZ
231H00000X
Audiologist
28538
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
540519
AZ
Enumeration date
10/19/2005
Last updated
03/24/2011
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