Individual
MARIO ANDRES CASALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 764-8050
Mailing address
77 NEALY AVE, HAMPTON, VA 23665-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
08/04/2026
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