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Individual

DR. WILLIAM C CHAMBERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2222 N NEVADA AVE, SUITE 5017, COLORADO SPRINGS, CO 80907-6831
(719) 635-2501
(719) 632-1062
Mailing address
2222 N NEVADA AVE, SUITE 5017, COLORADO SPRINGS, CO 80907-6831
(719) 635-2501
(719) 632-1062

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
28728
CO
2086S0129X
Vascular Surgery Physician
Primary
28728
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01287283
CO
01
020018127
RAILROAD MEDICARE NUMBER
01
4515748
AETNA PIN
01
CHD1848
BLUE SHIELD NUMBER
Enumeration date
02/22/2006
Last updated
03/02/2018
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