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CHANCEN HALL

Pain Medicine (Anesthesiology) Physician

NPI: 1396096632IndividualAccepts Medicare

Specialties, Licenses & Credentials

Anesthesiology Physician

Anesthesiology

Code: 207L00000X

OS022543(PA)94-09638(KS)
Pain Medicine (Anesthesiology) PhysicianPrimary

Anesthesiology — Pain Medicine

Code: 207LP2900X

7971254(ID)
Other Technician

Technician, Other

Code: 247200000X

CMS Specialties

PrimaryPAIN MANAGEMENT

Education

ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED

Class of 2018

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Contact & Hours

Address
1024 E LOCUST ST
EMMETT, ID 83617

Locations (2)

Practice Location

1024 E LOCUST ST, EMMETT, ID
(208) 365-2338

Practice Location

3840 S 103RD EAST AVE STE 100, TULSA, OK
(918) 921-9700

Quick Facts

NPI
1396096632
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
2
Years in Practice
8

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