Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 10891 | OK |
N | 208200000X | Surgeon | 10891 | OK |
N | 208600000X | Surgeon | 10891 | OK |
N | 2086S0129X | Vascular Surgeon | 10891 | OK |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 10891 | OK |
NPI | 1043215890 |
---|---|
Provider Name | John Stephen Chaffin |
First Address | Oklahoma City, OK 73112-4430 |
Second Address | Oklahoma City, OK 73112-4430 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 11/01/2017 |