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Organization

JASON R. CASEY, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON R. CASEY M.D. (OWNER)
(870) 931-7383
Entity
Organization

Contact information

Practice address
901 OSLER DR, SUITE B, JONESBORO, AR 72401-4390
(870) 931-7383
(870) 931-7353
Mailing address
PO BOX 1800, JONESBORO, AR 72403-1800
(870) 931-7383
(870) 931-7353

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C7674
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1164401394
NPI (INDIVIDUAL)
AR
05
121764001
AR
Enumeration date
06/30/2010
Last updated
02/12/2011
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