Individual
DR. VINCENT EDWIN CASIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2655
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 503-7267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116023039
VA
207Q00000X
Family Medicine Physician
90571
GA
208VP0000X
Pain Medicine Physician
Primary
90571
GA
Other
Enumeration date
07/12/2010
Last updated
06/06/2022
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