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Organization
MARCO CHAVEZ MD CORP
Active
Organization
MARCO CHAVEZ MD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO ANTONIO CHAVEZ M.D. (PRESIDENT)
(619) 344-7036
Entity
Organization
Contact information
Practice address
3761 CENTRE ST, 304, SAN DIEGO, CA 92103-0919
(619) 344-7036
(619) 291-4426
Mailing address
3914 3RD AVE, SAN DIEGO, CA 92103-3003
(619) 291-4808
(619) 291-4426
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A115932
CA
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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