Individual
DR. JASON FORD CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
427 N. 12TH ST., PLUMMER, ID 83851
(208) 686-1931
Mailing address
PO BOX 1118, COEUR D ALENE, ID 83816-1118
(208) 651-8950
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME121896
FL
Other
Enumeration date
06/17/2011
Last updated
02/25/2015
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