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ADAM CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
5560 KIETZKE LN BLDG A, RENO, NV 89511
(775) 322-7811
(775) 334-4191
Mailing address
5560 KIETZKE LN BLDG A, RENO, NV 89511-3019
(775) 322-7811
(775) 334-4191

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006708
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085006708
IL PHYSICIAN ASSISTANT LICENSE
IL
Enumeration date
10/04/2018
Last updated
09/11/2019
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