Individual
MARK CHAMBERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WYOMING ST, 3RD FLOOR, ANESTHESIA DEPT, DAYTON, OH 45409-2722
(937) 208-2627
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(937) 208-2627
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34046487
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0536147
—
OH
Enumeration date
09/29/2005
Last updated
07/08/2007
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