Healthcare Provider Details

I. General information

NPI: 1609894138
Provider Name (Legal Business Name): JAMES ALAN CHANDLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS MO
63110-1003
US

IV. Provider business mailing address

PO BOX 8221 7425 FORSYTH
SAINT LOUIS MO
63156-8221
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-6973
  • Fax: 314-362-1185
Mailing address:
  • Phone: 314-935-0770
  • Fax: 314-935-0575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number2005004432
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: