Individual
DR. JEFFREY DAVID CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 S CAMINO DEL RIO, SUITE B-2, DURANGO, CO 81303-6826
(859) 230-5565
Mailing address
555 S CAMINO DEL RIO, SUITE B-2, DURANGO, CO 81303-6826
(859) 230-5565
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0054704
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054704
STATE LICENSE
CO
Enumeration date
07/08/2008
Last updated
07/27/2023
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