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Individual

MR. JOHN D CHAMBERS JR.

Active
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Individual

MR. JOHN D CHAMBERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M-7163
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25734
BLUE SHIELD
05
805054100
ID
01
DG852
BLUE CROSS
Enumeration date
06/17/2005
Last updated
08/23/2011
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