| Robert J Casey Do Pc | |
|
5171 Cub Lake Rd Ste 270 Show Low AZ 85901-7888 | |
| (928) 532-1220 | |
| (928) 532-1222 |
| Full Name | Robert J Casey Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5171 Cub Lake Rd Ste 270, Show Low, Arizona |
| Authorized Official Name and Position | Robert J Casey (OWNER) |
| Authorized Official Contact | 9285321220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Casey Do Pc Po Box 2930 Pinetop AZ 85935-2930 Ph: (928) 532-1220 | Robert J Casey Do Pc 5171 Cub Lake Rd Ste 270 Show Low AZ 85901-7888 Ph: (928) 532-1220 |
| NPI Number | 1972898013 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 09/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972898013 | NPI | - | NPPES |
| 239683 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1955 (Arizona) | Primary |
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