Individual
CASEY BOWEN FILLERUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 E CLARK AVE STE A, SANTA MARIA, CA 93455-5150
(805) 934-0570
(805) 938-7688
Mailing address
1145 E CLARK AVE STE A, SANTA MARIA, CA 93455-5150
(805) 934-0570
(805) 938-7688
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5622
CA
Other
Enumeration date
11/18/2017
Last updated
02/21/2023
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