Provider Demographics
NPI:1790737674
Name:CHAMBERS, MARY DIANNE (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:DIANNE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 EAST ROBINSON
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6684
Mailing Address - Country:US
Mailing Address - Phone:405-360-1264
Mailing Address - Fax:405-321-8683
Practice Address - Street 1:500 EAST ROBINSON
Practice Address - Street 2:SUITE 2400
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6684
Practice Address - Country:US
Practice Address - Phone:405-360-1264
Practice Address - Fax:405-321-8683
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0263207V00000X
OK20216207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology