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Individual

DR. JESSICA TOOREDMAN CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6670 S TENAYA WAY, SUITE 180, LAS VEGAS, NV 89113-1966
(702) 369-4999
Mailing address
717 PINNACLE HEIGHTS LN, LAS VEGAS, NV 89144-0911

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
01074156A
IN
208800000X
Urology Physician
125054160
IL
2088P0231X
Pediatric Urology Physician
01074156A
IN
2088P0231X
Pediatric Urology Physician
Primary
16320
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
V113933
MEDICARE PTAN
NV
Enumeration date
08/05/2008
Last updated
08/11/2016
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