Individual
CRAIG W CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1532 W 32ND ST, STE 201, JOPLIN, MO 64804-1607
(417) 347-8660
(417) 347-8691
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(417) 347-8660
(417) 347-8691
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
118846
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100181820A
—
OK
05
—
100181820B
—
OK
05
—
100373840A
—
KS
05
—
100373840B
—
KS
01
—
127808
ANTHEM
MO
01
—
160048923
RR MEDICARE
—
05
—
245000021
—
MO
Enumeration date
06/27/2006
Last updated
01/26/2009
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