| Gerard B Chamberlin Md Mph Pc | |
|
6242 E Arbor Ave Ste 123 Mesa AZ 85206-1309 | |
| (804) 930-4600 | |
| (480) 930-4615 |
| Full Name | Gerard B Chamberlin Md Mph Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6242 E Arbor Ave Ste 123, Mesa, Arizona |
| Authorized Official Name and Position | Gerard B Chamberlin (PROPRIETOR) |
| Authorized Official Contact | 4809304600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard B Chamberlin Md Mph Pc 6242 E Arbor Ave Ste 123 Mesa AZ 85206-1309 Ph: (480) 930-4600 | Gerard B Chamberlin Md Mph Pc 6242 E Arbor Ave Ste 123 Mesa AZ 85206-1309 Ph: (804) 930-4600 |
| NPI Number | 1417183583 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 6204981343 |
|---|---|
| Medicare Enrollment ID | O20090826000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417183583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41160 (Arizona) | Primary |
| 208000000X | Pediatrics | 41160 (Arizona) | Secondary |
| Provider Name | Gerard Brophy Chamberlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750503124 PECOS PAC ID: 8123173267 Enrollment ID: I20090826000130 |
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