Individual
DR. BENJAMIN STEPHEN CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, 1008 RCP, IOWA CITY, IA 52242-1007
(319) 384-6511
Mailing address
200 HAWKINS DR, 1008 RCP, IOWA CITY, IA 52242-1007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R-8963
IA
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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