Individual
ELLEN CHADICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2345
Mailing address
13849 HORTON DR, OVERLAND PARK, KS 66223-2977
(913) 530-1578
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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