Individual
MR. ANTHONY C CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7323 WILD OLIVE AVE NE, ALBUQUERQUE, NM 87113-2079
(505) 417-2542
Mailing address
7323 WILD OLIVE AVE NE, ALBUQUERQUE, NM 87113-2079
(505) 417-2542
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102217392
CIGNA
NM
Enumeration date
08/03/2016
Last updated
08/03/2016
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