Individual
DR. EDWARD SCOTT CASSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-4100
Mailing address
728 134TH ST SW, SUITE 120, EVERETT, WA 98204-5322
(425) 297-6200
(425) 297-6250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00017896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115844
LABOR & IND. PROVIDER NO.
WA
05
—
8197204
—
WA
01
—
P00368452
RAILROAD MEDICARE
WA
Enumeration date
09/28/2005
Last updated
12/05/2007
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