NPI 1013987312

Theodore J Chase, PA

Practitioner Medical Physician Assistant Miles City, MT

Practice location

Address: 2600 Wilson Street, Miles City, MT 59301
Phone: (406) 233-2600
Fax: (406) 233-2611
Mailing address: PO Box 1412, Miles City, MT 59301

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 469 (MT)

Other Physician Assistant providers in Montana →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-577 (ID)

Registry record

NPI: 1013987312
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2006
Record last updated: 6 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.