Individual
JEFFERSON CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
26 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Mailing address
26 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
107769551204
UT
207R00000X
Internal Medicine Physician
125.067101
IL
207RP1001X
Pulmonary Disease Physician
Primary
10776955-1204
UT
Other
Enumeration date
06/22/2015
Last updated
08/02/2022
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