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Casey A Danielsen, DO
Military Health Care Provider in Fort Benning, Georgia
NPI 1023271640

Casey A Danielsen is a Military Health Care Provider based in Fort Benning, GA. Casey A Danielsen practices in Fort Benning, GA and has the professional credentials of DO. The NPI Number for Casey A Danielsen is 1023271640 and holds a License No. 25MB08876500 (Georgia).

The current practice location address for Casey A Danielsen is 6600 Van Aalst Blvd, Fort Benning, GA and can be reached out via phone at 762-408-2273.

Location: 6600 Van Aalst Blvd, Fort Benning, GA, 31905-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023271640
Provider Name
Casey A Danielsen
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
6600 Van Aalst Blvd, Fort Benning, GA, 31905-2102
Phone Number
762-408-2273
Fax Number
Provider Enumeration Date
07/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6600 Van Aalst Blvd
City
Fort Benning
State
Georgia
Zip
31905-2102
Phone Number
762-408-2273
Fax Number
person
Provider Business Mailing Address Details
Address
6600 Van Aalst Blvd
City
Fort Benning
State
Georgia
Zip
31905-2102
Phone Number
762-408-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
25MB08876500 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
25MB08876500 (New Jersey)
Definition
Definition to come...
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