Individual
BRYAN R CHAVEZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13985 W GRAND AVE STE 101, SURPRISE, AZ 85374-3626
(623) 251-2884
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(623) 251-2884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7625
AZ
363AM0700X
Medical Physician Assistant
7625
AZ
Other
Enumeration date
04/05/2019
Last updated
07/16/2024
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