DR. RYAN MATTHEW CASPER MD

Allergy and Immunology

Peoria, Arizona

Provider NPI: 1306898846

Provider Information:
DR. RYAN MATTHEW CASPER MD


Practice Location:
13965 N. 75TH AVENUE  PEORIA, AZ 85381 US
Tel: 602-843-2991  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	2080P0201X	Physicians Pediatrics Pediatric Allergy & Immunology	WI	46975
Y	207K00000X	Physicians Allergy & Immunology	AZ	36886

Other Provider Identifiers:

Issuer	Number	State	Type
	34552100	WI	05
HUMANA	009906261K		01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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