Individual
DR. DOUGLAS JAMES CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG MIS, SAINT LOUIS, MO 63110-1003
(314) 454-8877
(877) 991-4780
Mailing address
660 S EUCLID AVE, MSC 8109-37-920, SAINT LOUIS, MO 63110-1010
(314) 454-7224
(877) 991-4780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2022031556
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200113287
—
MO
Enumeration date
05/26/2015
Last updated
10/07/2022
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