Individual
DR. CASEY MCROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2094
(208) 381-1791
Mailing address
PO BOX 1108, CORVALLIS, OR 97339-1108
(805) 286-3826
(805) 221-6843
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
72633-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
M-15712
ID
Other
Enumeration date
03/30/2015
Last updated
07/12/2021
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