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Individual

ALANNA R CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
112 N 2ND AVE W, FAITH, SD 57626-0577
(605) 645-8731
Mailing address
PO BOX 305, FAITH, SD 57626-0305
(605) 645-8731

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0989
SD
363A00000X
Physician Assistant
3318
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023666
KAISER COMMERCIAL NUMBER
CO
05
68489323
CO
Enumeration date
08/04/2011
Last updated
03/21/2016
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