Provider Demographics
NPI:1922244664
Name:CHANDLER, ROBERT M (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 PEACH ST UNIT 16
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-4756
Mailing Address - Country:US
Mailing Address - Phone:814-860-3301
Mailing Address - Fax:814-860-3302
Practice Address - Street 1:7200 PEACH ST UNIT 16
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-4756
Practice Address - Country:US
Practice Address - Phone:814-860-3301
Practice Address - Fax:814-860-3302
Is Sole Proprietor?:No
Enumeration Date:2008-12-31
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT012779207Q00000X
PAOS015404207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine