Individual
DR. JOHN JOSEPH CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 E ORANGEBURG AVE, SUITE 201, MODESTO, CA 95350-5580
(209) 572-3224
(209) 572-4528
Mailing address
609 E ORANGEBURG AVE, SUITE 201, MODESTO, CA 95350-5580
(209) 572-3224
(209) 572-4528
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A34408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A344080
—
CA
Enumeration date
08/12/2006
Last updated
07/08/2007
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