Organization
PHILIP W CASTER MD AND JOHN P CASTER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W CASTER MD (OWNER)
(417) 532-9161
Entity
Organization
Contact information
Practice address
732 S MADISON AVE, LEBANON, MO 65536-3591
(417) 532-9161
(417) 532-8360
Mailing address
732 S MADISON AVE, LEBANON, MO 65536-3591
(417) 532-9161
(417) 532-8360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI1939
RAILROAD MEDICARE
MO
Enumeration date
12/14/2006
Last updated
08/22/2020
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