Individual
ANTHONY CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-6863
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-6863
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2005030691
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
2005030691
MO
208VP0000X
Pain Medicine Physician
Primary
2005030691
MO
Other
Enumeration date
06/06/2006
Last updated
06/23/2022
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