Healthcare Provider Details

I. General information

NPI: 1548654668
Provider Name (Legal Business Name): CASEY WILLIAM MUIR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N 2000 W STE 8
HURRICANE UT
84737-4115
US

IV. Provider business mailing address

PO BOX 912042
SAINT GEORGE UT
84791-2042
US

V. Phone/Fax

Practice location:
  • Phone: 435-635-0174
  • Fax: 435-635-0631
Mailing address:
  • Phone: 435-215-0230
  • Fax: 435-986-7092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number11650723-1205
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number11650723-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: