Individual
DR. ELIZABETH A. CASSTEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-5221
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
25440
FL
207Q00000X
Family Medicine Physician
Primary
25440
NE
2083A0100X
Aerospace Medicine Physician
25440
NE
2083X0100X
Occupational Medicine Physician
25440
NE
Other
Enumeration date
06/30/2008
Last updated
09/06/2023
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