Provider Demographics
NPI:1255449336
Name:STRONACH, NEIL (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:STRONACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1722 PINE ST
Mailing Address - Street 2:SUITE 804
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1103
Mailing Address - Country:US
Mailing Address - Phone:334-834-7221
Mailing Address - Fax:334-241-9848
Practice Address - Street 1:1722 PINE ST
Practice Address - Street 2:SUITE 804
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1103
Practice Address - Country:US
Practice Address - Phone:334-834-7221
Practice Address - Fax:334-241-9848
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2011-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00009707207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALA72039OtherSENIORS FIRST
AL630755234OtherCIGNA
AL630755234OtherGUARDIAN
AL630755234OtherHUMANA
AL630755234OtherMAIL HANDLERS
AL630755234OtherGEHA
AL51009595OtherBCBS
AL630755234OtherGREAT WEST
AL630755234OtherASSURANT
AL630755234OtherUNITED HEALTHCARE
AL000009595Medicaid
AL0004221076OtherAETNA
AL040010867OtherRAILROAD MEDICARE
AL630755234OtherCIGNA
ALA72039Medicare UPIN