Organization
CHAS PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ROTHERY (PRESIDENT)
(573) 815-3210
Entity
Organization
Contact information
Practice address
1605 E BROADWAY, SUITE 110, COLUMBIA, MO 65201-8023
(573) 815-7119
Mailing address
1600 E BROADWAY, BOX 6, COLUMBIA, MO 65201-5844
(573) 815-7119
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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