Individual
MARIO GIOVANI CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1701 W 72ND AVE, DENVER, CO 80221-2721
(303) 650-4460
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-3036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0007756
CO
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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