Individual
ANTHONY W. CASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
912 SOMERSET BLVD, SUITE 101, CHARLES TOWN, WV 25414-3952
(304) 725-2663
(304) 724-0053
Mailing address
912 SOMERSET BLVD, SUITE 101, CHARLES TOWN, WV 25414-3952
(304) 725-2663
(304) 724-0053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2003
WV
363A00000X
Physician Assistant
MA056845
PA
363AM0700X
Medical Physician Assistant
2007030779
MO
363AS0400X
Surgical Physician Assistant
2007030779
MO
Other
Enumeration date
10/04/2007
Last updated
01/09/2017
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