Individual
DR. BRUCE H CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5131 S COTTONWOOD ST # L-2, MURRAY, UT 84107-5701
(801) 263-3416
(801) 263-3428
Mailing address
1121 E 3900 S STE C230, SALT LAKE CITY, UT 84124-1297
(801) 262-9494
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD-45115
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285664078
—
UT
01
—
U000109211
MEDICARE UT PTAN
UT
Enumeration date
07/04/2006
Last updated
12/23/2020
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