Individual
CASEY A NEWGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4 MEMORIAL DR, STE 130B, ALTON, IL 62002-6751
(618) 463-7600
(618) 463-7601
Mailing address
4 MEMORIAL DR STE 130B, ALTON, IL 62002-6704
(618) 463-7600
(618) 463-7601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004576
IL
363A00000X
Physician Assistant
2015001940
MO
Other
Enumeration date
11/29/2012
Last updated
01/14/2022
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