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NPI Code Detail

MEDICARE: ANTHONY CASPER DO

MEDICARE:   ANTHONY  CASPER  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician14282458-1204UT

General Provider Information

NPI Number : 1215514773
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY CASPER DO
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-1136
Country : US
Telephone Number : 352-265-0316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 05/28/2026

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