Individual
ROSS DEANE CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 SKI RUN BLVD FL 2, SOUTH LAKE TAHOE, CA 96150-8489
(530) 448-2813
Mailing address
1121 SKI RUN BLVD FL 2, SOUTH LAKE TAHOE, CA 96150-8489
(530) 448-2813
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
G61985
CA
208D00000X
General Practice Physician
G61985
CA
Other
Enumeration date
11/19/2018
Last updated
02/13/2019
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