Individual
DR. AIMEE C CHAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1456 PROFESSIONAL DR STE 402, PETALUMA, CA 94954-6639
(707) 938-7951
(707) 938-7260
Mailing address
1456 PROFESSIONAL DR STE 402, PETALUMA, CA 94954-6639
(707) 938-7951
(707) 938-7260
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
A77824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A778242
PTAN
CA
01
—
FHO49Z
PTAN
CA
Enumeration date
07/26/2007
Last updated
07/08/2022
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