Individual
MARK A. CASILLAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1934 ALCOA HIGHWAY, BLDG D, SUITE 370, KNOXVILLE, TN 37920
(865) 305-5335
(865) 305-8840
Mailing address
1934 ALCOA HIGHWAY, BLDG D, SUITE 370, KNOXVILLE, TN 37920
(865) 305-5335
(865) 305-8840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LP00968
RI
208C00000X
Colon & Rectal Surgery Physician
48676
TN
Other
Enumeration date
04/24/2007
Last updated
02/04/2014
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