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Organization
ROBERT J CASEY DO PC
Active
Organization
ROBERT J CASEY DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J CASEY DO (OWNER)
(928) 532-1220
Entity
Organization
Contact information
Practice address
5171 CUB LAKE RD STE 270, SHOW LOW, AZ 85901-7888
(928) 532-1220
(928) 532-1222
Mailing address
PO BOX 2930, PINETOP, AZ 85935-2930
(928) 532-1220
(928) 532-1222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1955
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239683
—
AZ
Enumeration date
06/16/2011
Last updated
09/14/2011
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