Organization
JOHN B CHACE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BURTON CHACE M.D. (OWNER)
(405) 329-4102
Entity
Organization
Contact information
Practice address
500 EAST ROBINSON, SUITE 2300, NORMAN, OK 73071-6771
(405) 329-4102
(405) 364-3476
Mailing address
500 EAST ROBINSON, SUITE 2300, NORMAN, OK 73071-6771
(405) 329-4102
(405) 364-3476
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
05/07/2007
Last updated
07/25/2008
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