Individual
MR. BERNARD ANTHONY CHAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,LAT, ATC
Contact information
Practice address
4505 S MARYLAND PKWY, LAS VEGAS, NV 89154-9900
(702) 895-3380
(702) 895-4474
Mailing address
4505 S. MARYLAND PARKWAY BOX 450007, LAS VEGAS, NV 89154-0007
(702) 895-3380
(702) 895-4474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506006
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
22
NV
Enumeration date
10/13/2015
Last updated
10/13/2015
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