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DR. DAVID R CHAVEZ M.D.

Physicians Urology

Provider NPI: 1124110275

Provider Information:
DR. DAVID R CHAVEZ M.D.
Gender: M
Not Sole Proprietor

Practice Location:
ONE MEDICAL CENTER DR  LEBANON, NH 03756-0001 US
Tel: 603-653-9882  Fax: 603-653-0908

Business Mailing Address:
ONE MEDICAL CENTER DR  LEBANON, NH 03756-0001 US
Tel: 603-653-9882  Fax: --

NPI Information:
NPI: 1124110275
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208800000XPhysicians
Urology
MT8217
N208800000XPhysicians
Urology
WY6858A
Y208800000XPhysicians
Urology
NH15955
N2088P0231XPhysicians
Urology
NH15955

Other Provider Identifiers:

IssuerNumberStateType
0053278MT05
118564100WY05



American Medical Association 2012 taxonomy code information

Code: 208800000X

Type:

Classification:



Definition:



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