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Individual

JASEN C CHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 SHACKLEFORD DR, LITTLE ROCK, AR 72211-2858
(501) 500-5001
(501) 500-5008
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
E3762
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157630001
AR
Enumeration date
08/17/2005
Last updated
05/22/2024
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