Individual
DR. CHASE SAGERS ALTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
842 E MAIN ST, MEDFORD, OR 97504-7134
(541) 773-7273
Mailing address
PO BOX 1705, MEDFORD, OR 97501-0132
(541) 773-7273
(541) 773-2027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD182535
OR
207L00000X
Anesthesiology Physician
Primary
MD458309
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500724685
—
OR
Enumeration date
11/04/2012
Last updated
11/21/2023
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