MEDICARE: GEORGE P CHAMBERS JR. MD

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	207V00000X	Obstetrics & Gynecology Physician	10476	NV

General Provider Information

NPI Number	:	1508972431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE P CHAMBERS JR. MD

Provider Business Mailing Address
First Line	:	PO BOX 401177
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89140-1177
Country	:	US
Telephone Number	:	702-463-0800
Fax Number	:	702-463-0801

Provider Business Practice Location Address
First Line	:	5875 S RAINBOW BLVD STE 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-2556
Country	:	US
Telephone Number	:	702-463-0800
Fax Number	:	702-463-0801

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	02/01/2023

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