Provider Demographics
NPI:1215039128
Name:CHAMBERS, GUY WILLIAM III (MD)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:WILLIAM
Last Name:CHAMBERS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 179327
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-9327
Mailing Address - Country:US
Mailing Address - Phone:314-432-5616
Mailing Address - Fax:
Practice Address - Street 1:3009 N BALLAS RD STE 250C
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2323
Practice Address - Country:US
Practice Address - Phone:314-432-5616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7B27207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO203552419Medicaid
MO203552419Medicaid
MOA11404Medicare UPIN