Individual
IAN L CASSELL
Active
Individual
IAN L CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
27929
AZ
2085R0202X
Diagnostic Radiology Physician
27929
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30730830
—
NM
Enumeration date
11/04/2005
Last updated
01/16/2013
Update your record
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