Provider Demographics
NPI:1093242604
Name:CASSOL, CLARISSA A (MD)
Entity Type:Individual
Prefix:MRS
First Name:CLARISSA
Middle Name:A
Last Name:CASSOL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10810 EXECUTIVE CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4386
Mailing Address - Country:US
Mailing Address - Phone:501-604-2695
Mailing Address - Fax:
Practice Address - Street 1:10810 EXECUTIVE CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4386
Practice Address - Country:US
Practice Address - Phone:501-604-2695
Practice Address - Fax:501-604-2699
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2023-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35133222207ZP0101X
NY288267-1207ZP0101X
ARE13142207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology