Individual
JASON P CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7121 STEPHANIE LN, STE 100, LINCOLN, NE 68516-5359
(402) 420-3500
Mailing address
PO BOX 7239, LOVELAND, CO 80537-0239
(402) 489-9400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0431868
KS
Other
Enumeration date
04/18/2007
Last updated
10/19/2011
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