Individual
BRIAN CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13657 W MCDOWELL RD STE 220, GOODYEAR, AZ 85395-2603
(623) 882-1500
Mailing address
13657 W MCDOWELL RD STE 220, GOODYEAR, AZ 85395-2603
(800) 342-2898
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
71780
AZ
Other
Enumeration date
03/25/2021
Last updated
07/02/2024
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