Organization
MO C&P LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC CHAVEZ DMSC, PA-C (PRESIDENT)
(417) 425-8521
Entity
Organization
Contact information
Practice address
1925 E BENNETT ST STE I, SPRINGFIELD, MO 65804-1425
(417) 425-8521
Mailing address
1229 S JEFFERSON AVE, SPRINGFIELD, MO 65807-1603
(417) 425-8521
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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