Provider Demographics
NPI:1992402457
Name:STRONG, ROBERT D SR
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:STRONG
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 N NEWSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63115-2763
Mailing Address - Country:US
Mailing Address - Phone:314-531-1345
Mailing Address - Fax:314-534-1657
Practice Address - Street 1:3800 N NEWSTEAD AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63115-2763
Practice Address - Country:US
Practice Address - Phone:314-531-1345
Practice Address - Fax:314-534-1657
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)