Organization
COURTNEY CHAVEZ, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY CHAVEZ OD (PRESIDENT)
(505) 301-2561
Entity
Organization
Contact information
Practice address
1420 N RENAISSANCE BLVD NE, ALBUQUERQUE, NM 87107-7008
(505) 341-1490
Mailing address
1420 N RENAISSANCE BLVD NE, ALBUQUERQUE, NM 87107-7008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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