Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 44641 | AZ |
NPI | 1396888947 |
---|---|
Provider Name | Dr. Dana Meredith Chase |
First Address | Tucson, AZ 85718-5999 |
Second Address | Mesa, AZ 85206-1750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 13/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
615942 | (05) | AZ |