# ROBERT J CASEY DO PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972898013
- **Authorized official:** ROBERT J CASEY DO (OWNER)
- **Authorized official phone:** (928) 532-1220

## Contact information

- **Practice address:** 5171 CUB LAKE RD STE 270, SHOW LOW, AZ 85901-7888
- **Practice address phone:** (928) 532-1220
- **Practice address fax:** (928) 532-1222
- **Mailing address:** PO BOX 2930, PINETOP, AZ 85935-2930
- **Mailing address phone:** (928) 532-1220
- **Mailing address fax:** (928) 532-1222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1955 | AZ | Yes |

## Other

- **Enumeration date:** 06/16/2011
- **Last updated:** 09/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 239683 | — | AZ |