Individual
DR. LEWIS ROBERT CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL STE 5B, STE 5B, SAINT LOUIS, MO 63110-1032
(314) 362-3500
(314) 747-8963
Mailing address
660 S EUCLID AVE, C B 8127, SAINT LOUIS, MO 63110-1010
(314) 362-3500
(314) 747-8963
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R3716
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0510145014
—
IL
05
—
200846822
—
MO
Enumeration date
07/17/2006
Last updated
01/24/2018
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