Individual
DOUGLAS K CASPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17 10TH AVE NE, CHOTEAU, MT 59422-9339
(208) 869-6156
Mailing address
17 10TH AVE NE, CHOTEAU, MT 59422-9339
(208) 869-6156
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
553
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952467276
BLUE CROSS BLUE SHIELD
MT
05
—
1952467276
—
MT
Enumeration date
08/31/2006
Last updated
05/10/2024
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