Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 7638 | MT |
Y | 207VG0400X | Gynecologist | 7638 | MT |
NPI | 1174524060 |
---|---|
Provider Name | Vicki L Chapman |
First Address | Great Falls, MT 59405-5316 |
Second Address | Great Falls, MT 59405-5316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 09/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016289 | (05) | MT |
F88241 | (02) |