| Mario Andres Casallas, | |
|
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
| (937) 257-8349 | |
| Not Available |
| Full Name | Mario Andres Casallas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285399246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mario Andres Casallas, 5971 Hickam Dr, Dayton, OH 45431-1561 Ph: () - | Mario Andres Casallas, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-8349 |
Mr. Clifford Neill Otte, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, 88mdg/sghj, Wright Patterson Afb, OH 45433 Phone: 937-255-7119 | |
Calvin Williams, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 | |
Mr. Thomas Vaughn, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 210-455-9000 Fax: 937-656-3700 | |
Dr. Griffin Holauchock, DSC. PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9416 | |
Joel T Harris, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-904-0286 | |
David Paul Supinski Jr., P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr., Er/sgoe, Wright Patterson Afb, OH 45433 Phone: 937-257-0770 |