Mario Andres Casallas
NPI #1285399246 in Wright Patterson Afb, Ohio
Provider Information
- NPI Number
- 1285399246
- Entity Type
- Individual
- Name
- Mario Andres Casallas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Nov 4, 2021
- Last Updated
- Nov 4, 2021
Practice Location
- Address
- 4881 SUGAR MAPLE DR
- State
- Ohio
- ZIP Code
- 45433-5529
- Phone
- (937) 257-8349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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