Individual
MR. STEPHEN JACKSON CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
6475 WARRIOR WAY, BUILDING 1948, HILL AFB, UT 84056-5961
(801) 777-0658
Mailing address
6475 WARRIOR WAY, BUILDING 1948, HILL AFB, UT 84056-5961
(801) 777-0658
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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