Individual
DR. RAFAEL FRANCISCO CHUPECO GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA, MS
Contact information
Practice address
2082 MESQUITE AVE STE A, LAKE HAVASU CITY, AZ 86403-6710
(928) 453-2727
(928) 453-2828
Mailing address
PO BOX 3539, LAKE HAVASU CITY, AZ 86405-3539
(928) 453-2727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125070077
IL
207RI0011X
Interventional Cardiology Physician
Primary
4301509437
MI
Other
Enumeration date
07/03/2017
Last updated
06/24/2024
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