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Individual

MRS. CINDY L CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
721 W 13TH ST, JASPER, IN 47546-1817
(812) 481-2240
(812) 481-2241
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 482-0655
(812) 481-2241

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02001200A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000092679
ANTHEM PROVIDER #
IN
05
100117280A
IN
01
300084409
TRAVELERS MEDICARE #
IN
Enumeration date
07/22/2005
Last updated
12/02/2010
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