Individual
JOHN CARROLL CASADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
304 FAIRLANE AVE, SULPHUR, OK 73086-6861
(580) 622-2144
Mailing address
PO BOX 1713, ADA, OK 74821-1713
(580) 656-5169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
64315
OK
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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