Individual
DR. RYAN MATTHEW CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13965 N. 75TH AVENUE, PEORIA, AZ 85381-6097
(602) 843-2991
(602) 978-1226
Mailing address
13965 N. 75TH AVENUE, PEORIA, AZ 85381-6097
(602) 843-2991
(602) 978-1226
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
36886
AZ
2080P0201X
Pediatric Allergy/Immunology Physician
46975
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009906261K
HUMANA
—
05
—
34552100
—
WI
Enumeration date
05/16/2006
Last updated
07/01/2019
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