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Individual

DR. CASEY SHAW MOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 327-5461
Mailing address
1380 EAST ST APT 207, NEW BRITAIN, CT 06053-2148
(775) 846-7486

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
188501
CT
163W00000X
Registered Nurse
327844
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
014896
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
327844
AZ

Other

Enumeration date
05/27/2025
Last updated
02/25/2026
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