Individual
MERVIN MYRON CASEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 574-6800
Mailing address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
083810
IA
Other
Enumeration date
08/02/2016
Last updated
10/03/2022
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