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Individual
DR. CHASE SAGERS ALTOM
Active
Individual
DR. CHASE SAGERS ALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD182535
OR
207L00000X
Anesthesiology Physician
Primary
MD458309
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500724685
—
OR
Enumeration date
11/04/2012
Last updated
11/21/2023
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