Individual
JOHN S CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-9714
(319) 356-4552
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-9714
(319) 356-4552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31068
IA
207RC0000X
Cardiovascular Disease Physician
Primary
31068
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1147140
—
IA
01
—
59211
WELLMARK BCBS
IA
Enumeration date
10/07/2005
Last updated
06/04/2015
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