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Individual

DR. CASEY OWEN MCCRAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8915 S PECOS RD STE 19A, HENDERSON, NV 89074
(702) 341-9000
Mailing address
7500 SMOKE RANCH RD STE 200, LAS VEGAS, NV 89128-0373
(702) 233-0727
(702) 233-4799

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
005527
GA
208800000X
Urology Physician
17981
NV
208800000X
Urology Physician
Primary
35901
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0366100001
CIGNA GOVERNMENT SVC PTAN
AL
Enumeration date
06/26/2012
Last updated
06/22/2018
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