Individual
DR. SUE CASTLEMAN
Active
Individual
DR. SUE CASTLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
O-0562
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262334
WASHINGTON L&I
ID
05
—
808660700
—
ID
01
—
S6495
BLUE CROSS OF IDAHO
ID
Enumeration date
06/03/2007
Last updated
06/14/2010
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