MEDICARE: ANDREW CHAMBERS ND

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
1	175F00000X	Naturopath	19-1819	AZ

General Provider Information

NPI Number	:	1205471604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW CHAMBERS ND

Provider Business Mailing Address
First Line	:	4144 N 44TH ST STE 7
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-4260
Country	:	US
Telephone Number	:	480-456-0402
Fax Number	:

Provider Business Practice Location Address
First Line	:	4144 N 44TH ST STE 7
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-4260
Country	:	US
Telephone Number	:	480-456-0402
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2019
Last Update Date	:	11/10/2019

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