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Contact Information

BRUCE H CHAMBERLAIN, MD
5131 S COTTONWOOD ST # L-2
MURRAY, UT84107-5701
 Phone: 801-263-3416
 Fax: 801-263-3428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRUCE H CHAMBERLAIN · (Male)

NPI # 1285664078
Status Active
Credentials MD
Entity Individual
Enumeration date 07/04/2006
Last updated 12/23/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IA License # MD-45115
  • UT Medicaid 1285664078
  • UT Other U000109211 MEDICARE UT PTAN
Hospital affiliation(s)
  • WENTWORTH-DOUGLASS HOSPITAL - (Acute Care)
    789 CENTRAL AVE
    DOVER, NH 03820
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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