Individual
DR. DANIEL CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, DEPT OF ANESTHESIOLOGY, JACKSON, MS 39216
(601) 984-5900
(601) 984-5939
Mailing address
2500 N STATE ST, DEPT OF ANESTHESIOLOGY, JACKSON, MS 39216-4500
(601) 984-5900
(601) 984-5939
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
23102
MS
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
23102
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
23102
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01559383
—
MS
Enumeration date
07/06/2006
Last updated
08/29/2018
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