Individual
DR. JERALD DUANE CHAFFIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 W US HIGHWAY 60, MOUNTAIN VIEW, MO 65548-8542
(417) 934-7090
Mailing address
125 STONERIDGE DR, BRANSON, MO 65616-3714
(417) 334-1682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R6A25
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-4430
ARKANSAS LICENSE
AR
01
—
R6A25
MISSOURI LICENSE
MO
Enumeration date
06/13/2006
Last updated
07/08/2007
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