Provider Demographics
NPI:1104814466
Name:STRUMINGER, JANIN (MD)
Entity type:Individual
Prefix:DR
First Name:JANIN
Middle Name:
Last Name:STRUMINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 W. ORANGE GROVE RD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704
Mailing Address - Country:US
Mailing Address - Phone:520-989-0226
Mailing Address - Fax:520-989-3798
Practice Address - Street 1:2001 W. ORANGE GROVE RD
Practice Address - Street 2:SUITE 404
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-989-0226
Practice Address - Fax:520-989-3798
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24211207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ346769Medicaid
AZF16877Medicare UPIN
AZ346769Medicaid