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Individual

MARK D CASALINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
10255 N 35TH AVE, SUITE 100, PHOENIX, AZ 85051-1361
(602) 993-9933
(602) 942-5032
Mailing address
10255 N 35TH AVE, SUITE 100, PHOENIX, AZ 85051-1361
(602) 993-9933
(602) 942-5032

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AZ4317
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z3019
HEALTHNET
AZ
01
AZ0232670
BC/BS
AZ
Enumeration date
08/12/2005
Last updated
12/11/2007
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