Individual
BENJAMIN CHAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 FARMERS LN STE B, SANTA ROSA, CA 95405-6712
(707) 565-6960
Mailing address
1221 FARMERS LN STE B, SANTA ROSA, CA 95405-6712
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G046082
CA
Other
Enumeration date
12/12/2006
Last updated
06/27/2014
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