Chas Physician Services, LLC
Internal Medicine, Pulmonary Disease in Columbia, MO. Organization (NPI-2).
NPI number1326312976
StatusActive
Last updated in NPPESFeb 29, 2012
Details
- NPI
- 1326312976
- Entity type
- Organization (NPI-2)
- Legal business name
- Chas Physician Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 29, 2012
- Last updated
- Feb 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | Yes |
Practice location
1605 E BroadwaySuite 110
Columbia, MO 65201-8023
Phone 573-815-7119
Mailing address
1600 E BroadwayBox 6
Columbia, MO 65201-5844
Phone 573-815-7119
Authorized official
Daniel Rothery
President
5738153210
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