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Individual

JEFFERSON PATRICK CASTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
157 SKYLAR DR, LEWISBURG, WV 24901-9359
(304) 793-2059
(304) 793-2537
Mailing address
157 SKYLAR DR, LEWISBURG, WV 24901-9359
(304) 793-2059
(304) 793-2537

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18855
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001866321
BCBS MOUNTAIN STATE
01
030778100
FEDERAL BLACK LUNG
WV
01
1071574
BRICKSTREET (WV COMP)
WV
05
3810005643
WV
01
7343786
AETNA
WV
01
98727
UNICARE
WV
Enumeration date
07/28/2006
Last updated
12/21/2023
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