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Individual

JOHN BERKLEY CHAMBERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01049089A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004003
SIHO
IN
01
200040849
RAILROAD MEDICARE
IN
05
200151800
IN
Enumeration date
06/28/2006
Last updated
08/24/2009
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