Casey N Isom is a Specialist in Logan, Utah. Casey N Isom practices all healthcare services and medical treatments related to Specialist. The NPI Number for Casey N Isom is 1215964275. The last update date is 2007-07-08.
Casey N Isom's current location address is 550 E 1400 N, Logan, Utah. You can contact this provider via phone number 4357871108 and fax number 4357874244. The mailing address for Casey N Isom is 550 E 1400 N, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Casey N Isom |
|---|---|
| Address | 550 E 1400 N, Logan, Utah |
| Phone Number | 4357871108 |
| Fax Number | 4357874244 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215964275 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 550 E 1400 N |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843412407 |
| Phone Number | 4357871108 |
| Fax Number | 4357874244 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 6178459-1205 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code assigned to Casey N Isom by the Centers for Medicare & Medicaid Services?
The Casey N Isom has been issued the NPI (National Provider Identifier) 1215964275, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Casey N Isom?
The Casey N Isom is situated at 550 E 1400 N, in the city of Logan, state of UT, with the zip code 843412407.
What is the Casey N Isom's area of specialization and corresponding taxonomy classification?
The Casey N Isom's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Casey N Isom's 1215964275 issued?
The Casey N Isom's 1215964275 was issued on 2006-06-27.
As of what date were the Casey N Isom's details last updated?
The information pertaining to the Casey N Isom, including its address, specialty, and other details, was most recently updated on 2007-07-08.