Individual
PROBO H CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
908 W 4TH NORTH ST, MORRISTOWN, TN 37814-3894
(423) 586-4234
(865) 985-7077
Mailing address
PO BOX 636019, CINCINNATI, OH 45263-6019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31733
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3854448
—
TN
01
—
4069306
BC BS
TN
05
—
64045370
—
KY
Enumeration date
05/31/2006
Last updated
11/07/2007
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