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Individual
DR. GARY PHILLIP CHIMES
Active
Individual
DR. GARY PHILLIP CHIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
036-115660
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD434765
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD60319630
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07080018400
QUALCHOICE
AR
05
—
165028001
—
AR
01
—
5N905
BCBS
AR
01
—
E5236
ARKANSAS MEDICAL LICENSE
AR
01
—
P00401878
RAILROAD MEDICARE
AR
Enumeration date
03/20/2007
Last updated
02/19/2014
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