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KELLI A. CHASE M.D.

Anatomic Pathology >> Pathology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1316043698

Individual Registrant:
 KELLI A. CHASE M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
10 WOODLAND RD  SAINT HELENA, CA 94574-9554 US
Tel: 707-963-6288  Fax: 310-698-7054

Contact information for business:
2374 E PACIFICA PL  RANCHO DOMINGUEZ, CA 90220-6214 US
Tel: 310-225-3244  Fax: 310-698-7040

Registration Information:
NPI: 1316043698
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ZP0101XAllopathic & Osteopathic Physicians
Pathology
Anatomic Pathology
CAA69298

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PHYSICIAN LICENSE12237NV01
PHYSICIAN LICENSEDR-48660CO01
00A692980CA05
PHYSICIAN LICENSE7420275-1205UT01
PHYSICIAN LICENSE36223AZ01




HEALTH CARE JOBS CA - Page 1



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