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Individual

JUSTIN CASPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3214 E RACE AVE, SEARCY, AR 72143-4810
(501) 350-7117
Mailing address
32 AURIEL DR, LITTLE ROCK, AR 72223-9111

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-14197
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
267426003
AR
Enumeration date
04/03/2018
Last updated
06/16/2021
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