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Individual

DR. IRA D CHATMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 425-6212
(870) 508-6896
Mailing address
17 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 425-6212
(870) 508-6896

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
N7006
AR
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
N7006
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113375001
AR
01
770079401
BREASTCARE
AR
Enumeration date
02/22/2006
Last updated
01/07/2014
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