# MARY ANN CHAVEZ DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649427634
- **Authorized official:** DR. MARY ANN CHAVEZ DO (OWNER/PRESIDENT)
- **Authorized official phone:** (812) 268-3901

## Contact information

- **Practice address:** 222 W BEECH ST, SULLIVAN, IN 47882-1462
- **Practice address phone:** (812) 268-3901
- **Practice address fax:** (812) 268-0674
- **Mailing address:** 222 W BEECH ST, SULLIVAN, IN 47882-1462
- **Mailing address phone:** (812) 268-3901
- **Mailing address fax:** (812) 268-0674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02002313A | IN | Yes |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 02/09/2010