MEDICARE: DR. GUY WILLIAM CHAMBERS III M.D.

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	207RI0200X	Infectious Disease Physician	R7B27	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215039128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUY WILLIAM CHAMBERS III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 179327
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-9327
Country	:	US
Telephone Number	:	314-432-5616
Fax Number	:

Provider Business Practice Location Address
First Line	:	3009 N BALLAS RD STE 250C
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2323
Country	:	US
Telephone Number	:	314-432-5616
Fax Number	:

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	08/23/2024

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