Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 29778 | CA |
NPI | 1154540656 |
---|---|
Provider Name | Dr. Peter Anthony Chalmers |
First Address | Lafayette, CA 94549-2409 |
Second Address | El Cerrito, CA 94530-3655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |