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Individual

DR. PHILIP W CASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
732 S MADISON AVE, LEBANON, MO 65536-3591
(417) 532-9161
Mailing address
212 COACH RD, LEBANON, MO 65536-4204
(417) 532-1258

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31878MD
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0103801
UNITED HEALTHCARE
MO
01
171389
HEALTHLINK
MO
05
200434223
MO
01
3249
COX-FREEMAN
MO
01
7364
BCBS
MO
Enumeration date
04/27/2006
Last updated
12/31/2013
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