Individual
MR. DAVID M CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
31 IN BN 04 IN BN IBCT, FORT DRUM, NY 13602
(910) 658-6113
Mailing address
31 IN BN 04 IN BN IBCT, FORT DRUM, NY 13602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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