Individual
CASEY L HUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
9700 N 91ST ST STE A115, SCOTTSDALE, AZ 85258-5036
(602) 680-7730
(602) 680-7095
Mailing address
6422 E CAROLINA DR, SCOTTSDALE, AZ 85254-2004
(602) 680-7730
(602) 680-7095
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
19593
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077596
—
AZ
Enumeration date
06/13/2005
Last updated
07/27/2021
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