Individual
DUSTIN A. CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-7499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.090619
OH
208M00000X
Hospitalist Physician
Primary
35.090619
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2949840
—
OH
Enumeration date
05/24/2007
Last updated
02/21/2019
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