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NPI Code Detail

MEDICARE: DR. RONALD CASEY STRAHAN MD

MEDICARE:  DR. RONALD CASEY STRAHAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician32861CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140017394OTHERCOMEDICARE RAIL ROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2657244OTHERCTBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
432861OTHERCOSTATE LICENSE NUMBER
5841609278001OTHERCOROCKY MT HEALTH PLANS
684160927801OTHERCOPACIFICARE

General Provider Information

NPI Number : 1346246618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD CASEY STRAHAN MD
Provider Business Mailing Address
First Line : PO BOX 4330
Second Line :
City : AVON
State : CO
Zip : 81620-4330
Country : US
Telephone Number : 970-926-6340
Fax Number : 970-926-6348
Provider Business Practice Location Address
First Line : 50 BUCK CREEK ROAD
Second Line : SUITE 200
City : AVON
State : CO
Zip : 81620
Country : US
Telephone Number : 970-926-6340
Fax Number : 970-926-6348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 02/21/2017

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Directions to “ DR. RONALD CASEY STRAHAN MD” Practice Location

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