Individual
JEFFEREY CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9559
Mailing address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01031832
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109454
ANTHEM
IN
Enumeration date
11/28/2006
Last updated
07/08/2007
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