Individual
DR. LARRY ALLEN CASERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 MEADOW POINTE, BARBOURSVILLE, WV 25504-9209
(304) 525-5405
(304) 525-3400
Mailing address
104 MEADOW POINTE, BARBOURSVILLE, WV 25504-9209
(304) 525-5405
(304) 525-3400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
09978
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000028532
BCBS
—
05
—
0091392000
—
WV
01
—
7893
ACORDIA
WV
Enumeration date
04/12/2006
Last updated
11/22/2016
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