CODY R CHAMBERS, Surgical ARDMORE, OK

Contact Information

CODY R CHAMBERS

2002 12TH AVE NW STE B
ARDMORE, OK 73401-1206

Phone: 580-223-4795
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgical	363AS0400X	97	Physician Assistant
Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for CODY R CHAMBERS · (Male)

NPI Number	`1386283679`
Status	Active
Credentials
Entity	Individual
Enumeration date	01/03/2020
Last updated	01/03/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	OK License # 3113
Hospital affiliation(s)	MERCY MEMORIAL HEALTH CENTER - (Acute Care) 1011 FOURTEENTH AVENUE, NORTHWEST ARDMORE, OK 73401

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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