Doctor Name: | MARCIA CASPER |
NPI Number: | 1831383967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D.C.S. |
License Number: | ARDMS 43927 |
Business Practice Address: | 209 Main St. Macedonia, IA - 515494060 |
Business Phone Number: | 7124862330 |
Business Fax Number: | |
Mailing Address: | 209 Main St., P.o.b. 175 MACEDONIA |
State: | IA |
Postal Code: | 515494060 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/31/2007 |
NPI Last Update Date: | 08/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | ARDMS 43927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |