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NPI Code Detail

MEDICARE: MR. JAMES CHARLES CASSELL JR. PA-C

MEDICARE:  MR. JAMES CHARLES CASSELL JR. PA-C
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
1363A00000XPhysician AssistantPA19679CA
2363AM0700XMedical Physician Assistant2116WI

General Provider Information

NPI Number : 1730297847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES CHARLES CASSELL JR. PA-C
Provider Business Mailing Address
First Line : CMR 402 BOX 2220
Second Line :
City : APO
State : AE
Zip : 09180-0023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : LANDSTUHL REGIONAL MEDICAL CENTER
Second Line : CMR 402
City : APO
State : AE
Zip : 09180-0001
Country : US
Telephone Number : 314-486-8754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 09/14/2011

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Directions to “ MR. JAMES CHARLES CASSELL JR. PA-C” Practice Location

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