Individual
JACK W. CASAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(866) 397-7556
Mailing address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(866) 397-7556
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
23898
WV
207RI0011X
Interventional Cardiology Physician
Primary
26082
OK
Other
Enumeration date
08/31/2006
Last updated
09/24/2015
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