Individual
COURTNEY EMERSON CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1860 PENNSYLVANIA AVE, STE 200, FAIRFIELD, CA 94533-3590
(707) 646-4180
(707) 646-4185
Mailing address
1860 PENNSYLVANIA AVE, STE 200, FAIRFIELD, CA 94533-3590
(707) 646-4180
(707) 646-4185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
034618
CT
208600000X
Surgery Physician
Primary
G85771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G857710
—
CA
01
—
20052765
RAILROAD MEDICARE
CA
Enumeration date
10/05/2006
Last updated
01/11/2013
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