Organization
CHAS PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY CHAMBERS (PRESIDENT)
(573) 815-3072
Entity
Organization
Contact information
Practice address
1605 E BROADWAY, COLUMBIA, MO 65201-8023
(573) 256-7700
(573) 256-3003
Mailing address
1605 E BROADWAY STE 300, COLUMBIA, MO 65201-8023
(573) 256-7700
(573) 256-3003
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
36120
MO
Other
Enumeration date
09/16/2009
Last updated
03/19/2021
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