David A Chappell Md, Medical Corporation | |
141 Lynch Creek Way Suite A Petaluma CA 94954-2341 | |
(707) 762-0001 | |
(707) 765-0666 |
Full Name | David A Chappell Md, Medical Corporation |
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Speciality | Internal Medicine |
Location | 141 Lynch Creek Way, Petaluma, California |
Authorized Official Name and Position | David Chappell (DOCTOR) |
Authorized Official Contact | 7077620001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David A Chappell Md, Medical Corporation 141 Lynch Creek Way Suite A Petaluma CA 94954-2341 Ph: (707) 762-0001 | David A Chappell Md, Medical Corporation 141 Lynch Creek Way Suite A Petaluma CA 94954-2341 Ph: (707) 762-0001 |
NPI Number | 1821267162 |
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Provider Enumeration Date | 02/20/2008 |
Last Update Date | 02/20/2008 |
Medicare PECOS PAC ID | 4587742390 |
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Medicare Enrollment ID | O20080418000551 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821267162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | C40326 (California) | Primary |
Provider Name | David A Chappell |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1598732463 PECOS PAC ID: 4587632690 Enrollment ID: I20040916001367 |
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