Individual
DR. DAVID THOMAS CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
82 MACK BAYOU LOOP, SANTA ROSA BEACH, FL 32459-2637
(877) 231-3376
(850) 522-8354
Mailing address
2505 HARRISON AVE, PANAMA CITY, FL 32405-4464
(850) 233-3376
(850) 522-8354
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
6453
KS
208200000X
Plastic Surgery Physician
MD.31966
AL
208200000X
Plastic Surgery Physician
Primary
ME.136834
FL
208200000X
Plastic Surgery Physician
N9523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281876701
—
TX
01
—
8CV522
BCBS
TX
Enumeration date
03/07/2007
Last updated
08/28/2020
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