Individual
DR. CASEY SCHMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2419 MULLAN RD STE D, MISSOULA, MT 59808-1856
(509) 363-7788
Mailing address
2419 MULLAN RD STE D, MISSOULA, MT 59808-1856
(509) 363-7788
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
52611
MT
2085R0202X
Diagnostic Radiology Physician
MD60729592
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076446
—
WA
Enumeration date
04/27/2011
Last updated
07/21/2022
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