| NPI | 1689701542 | 
|---|---|
| Doing Business As | STRATHMOOR PEDIATRICS | 
| Entity Type | Organization | 
| Authorized Contact | DWAYNE EDWARD JOHNSON President 502-458-2577  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 28666)  | 
| Enumeration Date | 2007-02-27 | 
| Last Update Date | 2020-08-22 |