Organization
CASEY PROFESSIONAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SUE CASEY M.D. (OWNER)
(775) 750-4408
Entity
Organization
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(702) 453-3799
(702) 453-5741
Mailing address
660 W WILLIAMS AVE, FALLON, NV 89406-2739
(702) 453-3799
(775) 423-1158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13278
NV
208M00000X
Hospitalist Physician
Primary
13278
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13278
NV LIC
NV
Enumeration date
05/29/2013
Last updated
07/11/2024
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