Individual
COLBERT CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2240 GRANDE BLVD SE STE 102, RIO RANCHO, NM 87124-1751
(505) 727-4300
(505) 727-9590
Mailing address
4101 INDIAN SCHOOL RD NE STE 110, ALBUQUERQUE, NM 87110-3991
(505) 727-5785
(505) 727-9770
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD2008-0465
NM
208M00000X
Hospitalist Physician
MD2008-0465
NM
390200000X
Student in an Organized Health Care Education/Training Program
MD2008-0465
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18828744
—
NM
Enumeration date
02/06/2007
Last updated
05/08/2024
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