Individual
DR. JASON ALLAN CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 TRACY WAY, CHARLESTON, WV 25311
(304) 343-4583
(304) 343-9207
Mailing address
100 TRACY WAY, CHARLESTON, WV 25311
(304) 343-4583
(304) 343-9207
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22755
WV
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
0101240078
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009333000
—
WV
Enumeration date
07/20/2006
Last updated
04/16/2013
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