Individual
JOHN ROGER CHAVES
Active
Individual
JOHN ROGER CHAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G31984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G319840
—
CA
01
—
00G319842
BLUE SHIELD
CA
Enumeration date
07/25/2006
Last updated
04/02/2015
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