Individual
PAMELA ANNE STATLER CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7594
(505) 262-7641
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7594
(505) 865-7641
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2008-0653
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22858229
—
NM
Enumeration date
08/20/2006
Last updated
08/17/2011
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