MEDICARE: SALVATORE FRANK CASANO M.D.

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
1	174400000X	Specialist	11370	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407833148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALVATORE FRANK CASANO M.D.

Provider Business Mailing Address
First Line	:	333 E VIRGINIA AVE
Second Line	:	SUITE 201
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1206
Country	:	US
Telephone Number	:	602-253-7076
Fax Number	:	602-253-7215

Provider Business Practice Location Address
First Line	:	333 E VIRGINIA AVE
Second Line	:	SUITE 201
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1206
Country	:	US
Telephone Number	:	602-253-7076
Fax Number	:	602-253-7215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	07/08/2007

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