Individual
DR. TIMOTHY JAMES CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-2076
(314) 747-8953
Mailing address
660 S EUCLID AVE, C B 8116, SAINT LOUIS, MO 63110-1010
(314) 454-2076
(314) 747-8953
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
2012017779
MO
208000000X
Pediatrics Physician
Primary
2012017779
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
04/13/2009
Last updated
01/24/2018
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