Individual
MR. ROBERT JOHN CASQUEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10900 N SCOTTSDALE RD, STE 506, SCOTTSDALE, AZ 85254-5236
(480) 596-1110
(480) 596-9969
Mailing address
11000 N SCOTTSDALE RD, STE 120, SCOTTSDALE, AZ 85254-6169
(480) 596-1110
(480) 596-9969
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4217
AZ
363AM0700X
Medical Physician Assistant
5601003745
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428241
—
AZ
Enumeration date
09/20/2006
Last updated
01/29/2019
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