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Individual
TIFFANY REBECCA CHAVEZ
Active
Individual
TIFFANY REBECCA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5754
AZ
363A00000X
Physician Assistant
PA3161
ME
363A00000X
Physician Assistant
Primary
PA5604
MA
363AS0400X
Surgical Physician Assistant
5754
AZ
363AS0400X
Surgical Physician Assistant
PA22112
CA
363AS0400X
Surgical Physician Assistant
PA3161
ME
Other
Enumeration date
04/09/2012
Last updated
09/11/2026
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