Individual
DR. IAN CASSADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8388
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02004013A
IN
208600000X
Surgery Physician
DR.0060504
CO
208600000X
Surgery Physician
OP60861245
WA
Other
Enumeration date
07/08/2010
Last updated
11/12/2018
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