Provider Demographics
NPI:1831136894
Name:STRONG, JAMES A JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:STRONG
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2433 G. WASHINGTON WAY
Mailing Address - Street 2:#7202
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354
Mailing Address - Country:US
Mailing Address - Phone:509-375-1024
Mailing Address - Fax:
Practice Address - Street 1:2433 G. WASHINGTON WAY
Practice Address - Street 2:#7202
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354
Practice Address - Country:US
Practice Address - Phone:509-375-1024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038464207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1112812Medicaid
D23436Medicare UPIN
WAAB20613Medicare ID - Type Unspecified