# ROBERT CHANCELLOR MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154883379
- **Authorized official:** ROBERT CHANCELLOR MD (MD)
- **Authorized official phone:** (702) 487-7055

## Contact information

- **Practice address:** 5052 S JONES BLVD STE 145, LAS VEGAS, NV 89118-0556
- **Practice address phone:** (702) 367-0808
- **Mailing address:** PO BOX 530815, HENDERSON, NV 89053-0815
- **Mailing address phone:** (702) 487-7055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2019
- **Last updated:** 12/13/2023