Healthcare Provider Details

I. General information

NPI: 1215940846
Provider Name (Legal Business Name): STEVEN DANIEL CHASE DPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4103 S YALE AVE
TULSA OK
74135-6002
US

IV. Provider business mailing address

1202 N NAVAJO ST
CHOUTEAU OK
74337-3700
US

V. Phone/Fax

Practice location:
  • Phone: 918-495-4128
  • Fax: 918-281-8033
Mailing address:
  • Phone: 918-476-8455
  • Fax: 918-476-8445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11509
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: