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Individual
MICHAEL D CASSAT
Active
Individual
MICHAEL D CASSAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR-49601
CO
207Q00000X
Family Medicine Physician
Primary
E-3759
AR
207QS0010X
Sports Medicine (Family Medicine) Physician
E-3759
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-3759
AR LICENSE
AR
Enumeration date
06/29/2006
Last updated
03/02/2015
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