Individual
IAN L CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1213
(602) 933-1214
Mailing address
1919 E THOMAS RD, BUILDING 2108, SUITE 101, PHOENIX, AZ 85016-7710
(602) 512-8029
(602) 512-8161
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
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