Individual
DR. JASON T CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 A PARK WEST DR, SUITE 1, SCOTT, LA 70592
(337) 262-0189
(337) 593-9751
Mailing address
109A PARK WEST DR, SUITE 1, SCOTT, LA 70583
(337) 262-0189
(337) 593-9751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024738
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15-75046
—
LA
Enumeration date
12/16/2005
Last updated
01/12/2015
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