Individual
DR. SAMUEL R CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 W PLUMB LN STE 200, RENO, NV 89509-3683
(775) 870-1521
(775) 870-1892
Mailing address
540 W PLUMB LN STE 200, RENO, NV 89509-3683
(775) 870-1521
(775) 870-1892
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9105
NV
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
9105
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002013064
—
NV
Enumeration date
04/12/2006
Last updated
03/11/2022
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