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Brian Nicholas Casillas, MD
Student in an Organized Health Care Education/Training Program in Goodyear, Arizona
NPI 1215514310

Brian Nicholas Casillas is a Student in an Organized Health Care Education/Training Program based in Goodyear, AZ. Brian Nicholas Casillas practices in Goodyear, AZ and has the professional credentials of MD. The NPI Number for Brian Nicholas Casillas is 1215514310 and holds a License No. (Arizona).

The current practice location address for Brian Nicholas Casillas is 13657 W Mcdowell Rd Ste 220, Goodyear, AZ and can be reached out via phone at 909-367-9072.

Location: 13657 W Mcdowell Rd Ste 220, Goodyear, AZ, 85395-2603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215514310
Provider Name
Brian Nicholas Casillas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13657 W Mcdowell Rd Ste 220, Goodyear, AZ, 85395-2603
Phone Number
909-367-9072
Fax Number
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13657 W Mcdowell Rd Ste 220
City
Goodyear
State
Arizona
Zip
85395-2603
Phone Number
909-367-9072
Fax Number
person
Provider Business Mailing Address Details
Address
13657 W Mcdowell Rd Ste 220
City
Goodyear
State
Arizona
Zip
85395-2603
Phone Number
909-367-9072
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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