Provider Demographics
NPI:1336190388
Name:CHAPPELL, ROBERT W JR (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:CHAPPELL
Suffix:JR
Gender:M
Credentials:MD, MBA
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Mailing Address - Street 1:101 SIVLEY RD SW
Mailing Address - Street 2:MEDICAL STAFF OFFICE
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4421
Mailing Address - Country:US
Mailing Address - Phone:256-265-6990
Mailing Address - Fax:256-265-8920
Practice Address - Street 1:101 SIVLEY RD SW
Practice Address - Street 2:MEDICAL STAFF OFFICE
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4421
Practice Address - Country:US
Practice Address - Phone:256-265-6990
Practice Address - Fax:256-265-8920
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL11494207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine