Individual
BRYAN T KASEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10031 N 26TH ST, PHOENIX, AZ 85028-4306
(602) 614-1696
Mailing address
10031 N 26TH ST, PHOENIX, AZ 85028-4306
(602) 614-1696
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0183
AZ
367500000X
Certified Registered Nurse Anesthetist
RN101883
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647133
—
AZ
01
—
P00150757
RAILROAD MEDICARE
AZ
Enumeration date
12/14/2005
Last updated
12/16/2014
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