Individual
MR. JOHN B CHACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E ROBINSON, STE 2300, NORMAN, OK 73071
(405) 329-4102
(405) 307-5626
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 307-6668
(405) 701-6170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24274
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200060960A
—
OK
05
—
200060960B
—
OK
01
—
P00397767
MEDICARE RAILROAD
OK
Enumeration date
10/11/2006
Last updated
02/22/2016
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