Provider Demographics
NPI:1346246618
Name:STRAHAN, RONALD CASEY (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CASEY
Last Name:STRAHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 4330
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-4330
Mailing Address - Country:US
Mailing Address - Phone:970-926-6340
Mailing Address - Fax:970-926-6348
Practice Address - Street 1:50 BUCK CREEK ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620
Practice Address - Country:US
Practice Address - Phone:970-926-6340
Practice Address - Fax:970-926-6348
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2017-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO32861207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO40017394OtherMEDICARE RAIL ROAD
CT657244OtherBLUE CROSS BLUE SHIELD
CO01328616Medicaid
CO32861OtherSTATE LICENSE NUMBER
CO841609278001OtherROCKY MT HEALTH PLANS
CO84160927801OtherPACIFICARE
CO32861OtherSTATE LICENSE NUMBER
CO841609278001OtherROCKY MT HEALTH PLANS
CO01328616Medicaid