Individual
CHASTIN CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2910 TRIMBLE RD STE 105, COLUMBIA, MO 65201-7126
(573) 397-7434
(573) 397-7431
Mailing address
2910 TRIMBLE RD., STE 105, COLUMBIA, MO 65201-7126
(573) 397-7434
(573) 397-7431
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MO
363A00000X
Physician Assistant
—
TX
Other
Enumeration date
11/19/2012
Last updated
07/21/2022
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