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NPI Code Detail

MEDICARE: DR. JOHN B CHASTAIN MD

MEDICARE: DR. JOHN B CHASTAIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician51562AZ

General Provider Information

NPI Number : 1801915715
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN B CHASTAIN MD
Provider Business Mailing Address
First Line : 2121 N CRAYCROFT RD BLDG 5
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2801
Country : US
Telephone Number : 520-296-8500
Fax Number : 520-733-2389
Provider Business Practice Location Address
First Line : 2121 N CRAYCROFT RD BLDG 5
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2801
Country : US
Telephone Number : 520-296-8500
Fax Number : 520-733-2389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 08/12/2019

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Directions to “ DR. JOHN B CHASTAIN MD” Practice Location

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