Individual
MS. LAUREL G. CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1208 6TH AVE, SUPERIOR, MT 59872-9618
(406) 822-4278
(406) 822-4912
Mailing address
1208 6TH AVE, P.O. BOX 698, SUPERIOR, MT 59872-9618
(406) 822-4278
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
249
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0436410
—
MT
01
—
93073
BC/BS OF MONTANA
MT
Enumeration date
08/14/2006
Last updated
12/27/2007
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