Provider Demographics
NPI:1134175045
Name:PREYEAR, ALZO (DO)
Entity type:Individual
Prefix:DR
First Name:ALZO
Middle Name:
Last Name:PREYEAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 VAUGHN RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-1120
Mailing Address - Country:US
Mailing Address - Phone:334-386-0348
Mailing Address - Fax:334-386-0382
Practice Address - Street 1:5303 VAUGHN RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-1120
Practice Address - Country:US
Practice Address - Phone:334-386-0348
Practice Address - Fax:334-386-0382
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO-537207P00000X
ALDO.537207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051556416PREMedicare ID - Type Unspecified