Individual
MR. PETER J CASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1038 RIVER OAKS DR, FLOWOOD, MS 39232
(601) 932-5244
(601) 939-0545
Mailing address
2550 FLOWOOD DR, 402, FLOWOOD, MS 39232-9303
(601) 932-5244
(601) 939-0545
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
12096
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126164
—
MS
Enumeration date
08/30/2006
Last updated
06/19/2019
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