Individual
DEAN RANDALL CHASSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8000 AL HIGHWAY 69, MARSHALL MEDICAL CENTER NORTH, GUNTERSVILLE, AL 35976-7140
(256) 571-8000
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24930
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
24930
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937733
—
AL
01
—
051534597
BCBS
AL
01
—
P00329806
RR MEDICARE
AL
Enumeration date
04/05/2006
Last updated
10/20/2011
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