Healthcare Provider Details

I. General information

NPI: 1649273897
Provider Name (Legal Business Name): DAVID E CHAMBERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 05/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 N FIREWEED ST SUITE B
SOLDOTNA AK
99669-7540
US

IV. Provider business mailing address

PO BOX 200149
ANCHORAGE AK
99520-0149
US

V. Phone/Fax

Practice location:
  • Phone: 907-561-3211
  • Fax: 907-562-7547
Mailing address:
  • Phone: 907-561-3211
  • Fax: 907-562-7547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD23541
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4447
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: