Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 012259 | LA |
NPI | 1861461444 |
---|---|
Provider Name | Dr. Dennis Anderson Casey III |
First Address | Metairie, LA 70001-3345 |
Second Address | New Orleans, LA 70119-6021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B61262 | (02) | LA |