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NPI Code Detail

MEDICARE: DAVID CHAMBERS

MEDICARE: DAVID CHAMBERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystOK

General Provider Information

NPI Number : 1205118510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID CHAMBERS
Provider Business Mailing Address
First Line : 907 W CADDO ST
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-4201
Country : US
Telephone Number : 539-593-4288
Fax Number :
Provider Business Practice Location Address
First Line : 907 W CADDO ST
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-4201
Country : US
Telephone Number : 918-214-6067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2011
Last Update Date : 08/17/2023

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Directions to “ DAVID CHAMBERS ” Practice Location

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