Individual
JOHN W CASSELS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 KEENE ST, COLUMBIA, MO 65201-8104
(573) 499-6071
(573) 499-6065
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R8P60
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12172
BLUE CHOICE
MO
01
—
165425
HEALTHLINK
MO
05
—
203185103
—
MO
01
—
2086352401
KANSAS MEDICAID
MO
01
—
7409031
UNITED HEALTHCARE
MO
Enumeration date
05/04/2006
Last updated
04/10/2009
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