Doctor Name: | MR. PETER J CASANO |
NPI Number: | 1134239171 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 12096 |
Business Practice Address: | 1038 River Oaks Dr Flowood, MS - 39232 |
Business Phone Number: | 6019325244 |
Business Fax Number: | 6019390545 |
Mailing Address: | 2550 Flowood Dr, 402 FLOWOOD |
State: | MS |
Postal Code: | 392329303 |
Phone Number: | 6019325244 |
Fax Number: | 6019390545 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 06/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 12096 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |