Provider Demographics
NPI:1376046862
Name:ASENJO, JOHN CASTILLO (DO, MS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CASTILLO
Last Name:ASENJO
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Gender:M
Credentials:DO, MS
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Mailing Address - Street 1:9040 FITZSIMMONS DR
Mailing Address - Street 2:
Mailing Address - City:JOINT BASE LEWIS MCCHORD
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1000
Mailing Address - Country:US
Mailing Address - Phone:253-968-0369
Mailing Address - Fax:
Practice Address - Street 1:611 5TH AVE W
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4260
Practice Address - Country:US
Practice Address - Phone:828-698-3301
Practice Address - Fax:828-698-7133
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2024-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2024-00666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine