Individual
CHASE FADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 STANTON L YOUNG BLVD STE 3216, OKLAHOMA CITY, OK 73104-5036
(405) 271-5251
Mailing address
920 STANTON L YOUNG BLVD STE 3216, OKLAHOMA CITY, OK 73104-5036
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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