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Individual

DR. TARAH CHAMBERLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
469 HIGHWAY 50, GILLETTE, WY 82718-9330
(073) 879-8503
(307) 387-9890
Mailing address
469 STATE HIGHWAY 50, GILLETTE, WY 82718-9330
(307) 387-9850
(307) 387-9883

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15755A
WY
207Q00000X
Family Medicine Physician
Primary
20A10885
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15755A
WY LICENSE
WY
Enumeration date
11/08/2010
Last updated
12/11/2025
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