MEDICARE: ALFREDO CASILLAS

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	2255A2300X	Athletic Trainer
2	2255A2300X	Athletic Trainer		AZ

General Provider Information

NPI Number	:	1518422344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFREDO CASILLAS

Provider Business Mailing Address
First Line	:	1416 N SIERRA HEIGHTS CIR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85207-4275
Country	:	US
Telephone Number	:	480-710-4311
Fax Number	:

Provider Business Practice Location Address
First Line	:	1416 N SIERRA HEIGHTS CIR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85207-4275
Country	:	US
Telephone Number	:	480-710-4311
Fax Number	:

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

Provider Enumeration Date	:	02/06/2019
Last Update Date	:	02/06/2019

Similar Medicare Providers

1790759439 — DR. JOEL R. CLARK D.D.S.
Practice Location Address:

1925 S SOSSAMAN RD , 211
MESA, AZ
85209-4275

Practice Phone: 480-503-3764
Practice Fax: 480-380-0336

1104008499 — SOSSAMAN DENTAL CARE
Practice Location Address:

1925 S SOSSAMAN RD , #212
MESA, AZ
85209-4275

Practice Phone: 480-203-2531
Practice Fax:

1699771659 — CYNTHIA ANN PETERS CRNFA, FNP-C
Practice Location Address:

7165 E UNIVERSITY DR STE 183
MESA, AZ
85207-6415

Practice Phone: 480-668-5000
Practice Fax: 480-668-5065

1033116397 — MS. LAURIE L SHEPARD PT, OCS
Practice Location Address:

6836 E BROWN RD , STE 102
MESA, AZ
85207-3756

Practice Phone: 480-924-5514
Practice Fax: 480-924-5518

1871590661 — KARYN F. ROBERTSON PA
Practice Location Address:

7165 E UNIVERSITY DR STE 183
MESA, AZ
85207-6415

Practice Phone: 480-668-5000
Practice Fax: 480-668-5065

1962494807 — JUSTIN THOMAS SAWYER MD
Practice Location Address:

6832 E BROWN RD
MESA, AZ
85207-3755

Practice Phone: 480-830-8333
Practice Fax: 480-830-8390

Directions to “ ALFREDO CASILLAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.