Individual
WILLIAM M. CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4351 E LOHMAN AVE, SUITE 320, LAS CRUCES, NM 88011-8259
(575) 522-0116
(575) 522-0094
Mailing address
4351 E LOHMAN AVE, SUITE 320, LAS CRUCES, NM 88011-8259
(575) 522-0116
(575) 522-0094
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
12784
MT
207RG0100X
Gastroenterology Physician
Primary
MD2014-0875
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
403912YY54
MEDICARE PTAN
NM
05
—
59622539
—
NM
Enumeration date
06/19/2006
Last updated
09/30/2015
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