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NPI Code Detail

MEDICARE: CASEY L HUSTON MD PC

MEDICARE:   CASEY L HUSTON  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
12086S0129XVascular Surgery Physician19593AZ

Other Identifiers

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

General Provider Information

NPI Number : 1881698256
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY L HUSTON MD PC
Provider Business Mailing Address
First Line : 6422 E CAROLINA DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-2004
Country : US
Telephone Number : 602-680-7730
Fax Number : 602-680-7095
Provider Business Practice Location Address
First Line : 9700 N 91ST ST STE A115
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-5036
Country : US
Telephone Number : 602-680-7730
Fax Number : 602-680-7095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/27/2021

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Directions to “ CASEY L HUSTON MD PC” Practice Location

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