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Individual

DR. ROBERT I MCCASLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4150 V ST, PSSB SUITE 2100, SACRAMENTO, CA 95817-1460
(916) 734-8249
(916) 734-7950
Mailing address
505 ELLIS BLVD APT A5, JEFFERSON CITY, MO 65101-2291
(858) 735-6943

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
226294
MA
208000000X
Pediatrics Physician
G79591
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
226294
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
G79591
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2110415
MA
Enumeration date
05/10/2006
Last updated
07/04/2014
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