Organization
CHAVEZ EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE MARON (CEO)
(925) 225-5837
Entity
Organization
Contact information
Practice address
1065 BUCKS LAKE RD, QUINCY, CA 95971-9507
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689045015
—
CA
Enumeration date
10/12/2015
Last updated
06/24/2021
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