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Individual

SHERI LOUISE CHACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
11435 W BUCKEYE RD STE A106, AVONDALE, AZ 85323-6812
(480) 677-8282
(480) 535-0962
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(888) 316-1686

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5623
AZ
363AS0400X
Surgical Physician Assistant
5623
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
889844
AZ
Enumeration date
03/05/2008
Last updated
07/17/2024
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