Individual
STEWART CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 N HIGH ST, HILLSBORO, OH 45133-8273
(937) 393-6126
Mailing address
PO BOX 710964, COLUMBUS, OH 43271-0964
(866) 287-3268
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35027428
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000007652
BC/BS INDIVIDUAL PIN NO
OH
05
—
0298539
—
OH
Enumeration date
07/08/2005
Last updated
07/18/2007
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