Provider Demographics
NPI:1972628998
Name:CHAMBERS, JODI A (MD)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:A
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11700 W 2ND PL
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1704
Mailing Address - Country:US
Mailing Address - Phone:720-321-8100
Mailing Address - Fax:720-321-8101
Practice Address - Street 1:11700 W 2ND PL
Practice Address - Street 2:SUITE 210
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1704
Practice Address - Country:US
Practice Address - Phone:720-321-8100
Practice Address - Fax:720-321-8101
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2012-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO27867208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO74873521Medicaid
CO74873521Medicaid
COF4338Medicare ID - Type Unspecified