Organization
CHAMBERLAIN GENERAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J CHAMBERLAIN D.O. (PRESIDENT)
(208) 528-6500
Entity
Organization
Contact information
Practice address
2805 VALENCIA DRIVE, IDAHO FALLS, ID 83404
(208) 528-6500
(208) 525-6151
Mailing address
4800 E MAJESTIC VW, IDAHO FALLS, ID 83406-8179
(208) 528-6500
(208) 525-6151
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
O-194
ID
Other
Enumeration date
09/20/2006
Last updated
04/25/2013
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