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Individual

MR. JOE VERNON CASEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 751-5711
Mailing address
601 W MAPLE AVE STE 503, SPRINGDALE, AR 72764-5376
(479) 751-3722
(479) 751-1099

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
596812
CA
367500000X
Certified Registered Nurse Anesthetist
AP128983
TX
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.17071
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
C003278
AR
367500000X
Certified Registered Nurse Anesthetist
R0083727
OK

Other

Enumeration date
07/20/2005
Last updated
03/10/2022
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