Individual
CASEY BRANT LYTHGOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6116 E ARBOR AVE BLDG 2, MESA, AZ 85206-6107
(480) 565-5924
(480) 219-1771
Mailing address
6116 E ARBOR AVE STE 108, MESA, AZ 85206-6103
(480) 219-1010
(480) 219-1771
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
125.058373
IL
208800000X
Urology Physician
Primary
50391
AZ
Other
Enumeration date
06/25/2010
Last updated
01/03/2022
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