Individual
ALEXANDER VICTOR CHABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 493-4002
Mailing address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 493-4002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OL.61164283
WA
Other
Enumeration date
03/31/2021
Last updated
07/20/2021
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