Individual
MR. CHRISTOPHER EMMONS CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
(208) 853-9422
Mailing address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
(208) 853-9422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1488
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972992329
—
ID
Enumeration date
01/22/2015
Last updated
07/24/2019
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