| Doctor Name: | DR. JOHN JOSEPH CHIAFFITELLI |
| NPI Number: | 1053391672 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 3345 |
| Business Practice Address: | 1601 Sw 89th St Oklahoma City, OK - 731596349 |
| Business Phone Number: | 4056812273 |
| Business Fax Number: | 4056812274 |
| Mailing Address: | 1616 S State St, EDMOND |
| State: | OK |
| Postal Code: | 730133600 |
| Phone Number: | 4058447888 |
| Fax Number: | 4058448881 |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 06/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 3345 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |