Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 20A14591 | CA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 20A14591 | CA |
NPI | 1417362757 |
---|---|
Provider Name | Dr. Casey Pyle |
First Address | Ventura, CA 93003-2840 |
Second Address | Ventura, CA 93003-2809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2014 |
Last Update Date | 01/11/2019 |