Individual
MARINA ELENA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8410 W THOMAS RD STE 124, PHOENIX, AZ 85037-3373
(480) 417-5289
(602) 812-7491
Mailing address
20463 N 81ST DR, PEORIA, AZ 85382-2432
(623) 293-2063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9631
AZ
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/12/2021
Last updated
01/17/2025
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