person
Mr. Casey L Branham, PA-C
Medical Physician Assistant in Evansville, Indiana
NPI 1508508748

Casey L Branham is a Medical Physician Assistant based in Evansville, IN and is specialized in Medical. Casey L Branham practices in Evansville, IN and has the professional credentials of PA-C. The NPI Number for Casey L Branham is 1508508748 and holds a License No. 10003686 (Indiana).

The current practice location address for Casey L Branham is 520 Mary St Ste 520, Evansville, IN and can be reached out via phone at 812-424-8231 and via fax at 812-435-8794.

Location: 520 Mary St Ste 520, Evansville, IN, 47710-1682
person
Provider Profile Details
NPI Number
1508508748
Provider Name
Casey L Branham
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
520 Mary St Ste 520, Evansville, IN, 47710-1682
Phone Number
812-424-8231
Fax Number
812-435-8794
Provider Enumeration Date
04/08/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1198036 01 IN NCCPA CERTIFICATION
7100839460 05 KY
300066142 05 IN
1102629959 01 IN BCBS
institution
Provider Business Practice Location Address Details
Address
520 Mary St Ste 520
City
State
Zip
47710-1682
Phone Number
812-424-8231
Fax Number
812-435-8794
person
Provider Business Mailing Address Details
Address
520 Mary St Ste 520
City
State
Zip
47710-1682
Phone Number
812-424-8231
Fax Number
812-435-8794
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10003686 (Indiana)
Definition
Definition to come...
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