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NPI Code Detail

MEDICARE: EDMUND CASPER MD PC

MEDICARE: EDMUND CASPER MD PC
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
1103TP0016XPrescribing (Medical) Psychologist16856CO

General Provider Information

NPI Number : 1225270309
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDMUND CASPER MD PC
Provider Business Mailing Address
First Line : 1879 S XENIA CT
Second Line :
City : DENVER
State : CO
Zip : 80231-3331
Country : US
Telephone Number : 303-755-4271
Fax Number : 303-337-2897
Provider Business Practice Location Address
First Line : 3400 E BAYAUD AVE
Second Line : STE:210
City : DENVER
State : CO
Zip : 80209-2926
Country : US
Telephone Number : 303-880-3545
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EDMUND CASPER
Credential : M.D.
Telephone Number : 303-755-4271
Provider Enumeration Date : 04/03/2009
Last Update Date : 04/03/2009

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