Individual
JASON R CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3202 BRENTWAY LN, JONESBORO, AR 72404-8235
(870) 819-1564
Mailing address
3202 BRENTWAY LN, JONESBORO, AR 72404-8235
(870) 819-1564
(870) 933-2612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C7674
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121764001
—
AR
05
—
146063002
—
AR
Enumeration date
01/16/2006
Last updated
10/26/2015
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