Individual
DR. JERRY A CHASE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2555 E 13TH ST, SUITE 100, LOVELAND, CO 80537-5113
(970) 613-1745
(970) 461-6160
Mailing address
3705 EL CAMINITO CT, LOVELAND, CO 80537-7411
(970) 669-2445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20415
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01204155
—
CO
Enumeration date
10/25/2005
Last updated
12/22/2015
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