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Contact Information

JOHN D CHAMBERS JR, MD
2985 CORTEZ AVE
IDAHO FALLS, ID83404-7554
 Phone: 208-523-3373
 Fax: 208-523-8746
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN D CHAMBERS JR · (Male)

NPI # 1578568242
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2005
Last updated 08/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-7163
  • ID Medicaid 805054100
  • Other DG852 BLUE CROSS
  • Other 25734 BLUE SHIELD
Hospital affiliation(s)
  • EASTERN IDAHO REGIONAL MEDICAL CENTER - (Acute Care)
    3100 CHANNING WAY
    IDAHO FALLS, ID 83404
  • MADISON MEMORIAL HOSPITAL - (Acute Care)
    255 N 3RD E
    REXBURG, ID 83440
  • MOUNTAIN VIEW HOSPITAL - (Acute Care)
    2325 CORONADO STREET
    IDAHO FALLS, ID 83404
  • ST JOHNS MEDICAL CENTER - (Acute Care)
    625 EAST BROADWAY
    JACKSON, WY 83001
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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