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Individual

DR. FREDDY ENGLEBERT CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
(425) 339-5444
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0053036
CO
207Q00000X
Family Medicine Physician
Primary
MD60807713
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2094345
WA
Enumeration date
07/06/2009
Last updated
08/16/2022
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