Casey Michelle Dement PA

NPI 1518230929 - Physician Assistant - 363A00000X

NPI Details
NPI 1518230929
Gender Female
Enumeration Date 02/15/2012
Last Updated 08/25/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
65 COUNTY ROAD 527
POPLAR BLUFF MO, 63901-8029, US
Phone (573) 785-4600
Fax (573) 785-3611
Business Location
65 COUNTY ROAD 527
POPLAR BLUFF MO, 63901-8029, US
Phone (573) 785-4600
Fax (870) 336-1484
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Casey Michelle Dement PA NPI is 1518230929, taxonomy code is 363A00000X Casey Michelle Dement PA physically located at 65 County Road 527, Poplar Bluff MO, 63901-8029. NPI Number Casey Michelle Dement PA has the Individual type.

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1518230929 NPI number is provided on an as is basis without warranty of any kind. 1518230929 is maintained by the National Plan & Provider Enumeration System. The contents of Casey Michelle Dement PA are for informational purposes only.