| Doctor Name: | DR. IAN CHAUNCEY UBER |
| NPI Number: | 1891016796 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 26377 |
| Business Practice Address: | 2005 Knight Lane Bldg H Jacksonville, FL - 32212 |
| Business Phone Number: | 6195326400 |
| Business Fax Number: | |
| Mailing Address: | 13511 Prairie Mallow Ln, CENTREVILLE |
| State: | VA |
| Postal Code: | 201205034 |
| Phone Number: | 4439925422 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2010 |
| NPI Last Update Date: | 08/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 26377 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |