Individual
DR. W PHILIP R CASINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 SAINT MARYS DR, SUITE 300, EVANSVILLE, IN 47714-0520
(812) 473-2642
(812) 474-4458
Mailing address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01047595A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01047595A
IN
207RI0011X
Interventional Cardiology Physician
33473
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01047595A
IN LICENSE
IN
01
—
33473
KY LICENSE
KY
Enumeration date
07/07/2005
Last updated
06/07/2022
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