Individual
DR. COREY CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 720-4340
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD00038917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267600
INTERNAL ID-MOTOR VEHICLE ID
—
01
—
440004065
RAIL ROAD MEDICARE
WA
05
—
8354318
—
WA
Enumeration date
10/16/2006
Last updated
01/28/2025
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