Individual
DR. JASPER V CASTILLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1963 MEMORIAL PARKWAY SW, SUITE 5, HUNTSVILLE, AL 35801
(256) 536-9300
(256) 535-9032
Mailing address
PO BOX 18066, HUNTSVILLE, AL 35804-8066
(256) 536-9300
(256) 535-9032
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00015441
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004481377
AETNA
—
05
—
009952080
—
AL
01
—
040012153
RAILROAD RETIREMENT
—
01
—
174148900
US DEPARTMENT OF LABOR
—
01
—
51079123
BLUECROSS BLUESHIELD
AL
01
—
51501687
BLUECROSS BLUESHIELD
AL
Enumeration date
09/20/2006
Last updated
12/22/2022
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