Individual
CHADRON VASSAR
Active
Individual
CHADRON VASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
19119
ND
207L00000X
Anesthesiology Physician
Primary
2021044086
MO
207L00000X
Anesthesiology Physician
84627
MT
207L00000X
Anesthesiology Physician
DO-05137
IA
207L00000X
Anesthesiology Physician
DO3213
ME
207LP3000X
Pediatric Anesthesiology Physician
DO-05137
IA
Other
Enumeration date
04/07/2015
Last updated
09/24/2025
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