Individual
DR. MAURICIO RENAN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 MAIN ST, VANCOUVER, WA 98663-2753
(360) 823-2012
(360) 823-2260
Mailing address
3200 MAIN ST, VANCOUVER, WA 98663-2753
(360) 823-2012
(360) 823-2260
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
125-046325
IL
Other
Enumeration date
12/08/2006
Last updated
04/07/2015
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