Individual
MICHELLE M CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
000000A66466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00197012
RR MEDICARE
CA
Enumeration date
10/16/2006
Last updated
04/12/2008
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