Individual
DR. STEPHEN PAUL CASSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 49TH ST SE, SUITE A, CHARLESTON, WV 25304-1909
(304) 925-3937
(304) 925-4336
Mailing address
301 49TH ST SE, SUITE A, CHARLESTON, WV 25304-1909
(304) 925-3937
(304) 925-4336
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12950
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010455000
—
WV
Enumeration date
09/02/2005
Last updated
02/24/2011
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