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Individual

DR. GREGORY D CASEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4007 ESTATE DIAMOND RUBY, ST CROIX, VI 00820-4435
(340) 778-6311
Mailing address
PO BOX 5975, CHRISTIANSTED, VI 00823-5975
(517) 937-1661

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
3035
VI
2086S0102X
Surgical Critical Care Physician
4301050406
MI
2086S0127X
Trauma Surgery Physician
3035
VI
2086S0127X
Trauma Surgery Physician
4301050406
MI
2086S0129X
Vascular Surgery Physician
Primary
3035
VI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0B56029
BLUE SHIELD
MI
05
1487604260
VA
05
4852564
MI
Enumeration date
05/11/2006
Last updated
02/07/2023
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