Individual provider · NPI-1
Dr. Denise Chavez, M.D.
Internal Medicine · Farmington, NM
NPI number1689604274
StatusActive
Last updated in NPPESMar 25, 2014
Details
- NPI
- 1689604274
- Entity type
- Individual (NPI-1)
- Name
- Dr. Denise Chavez
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2006
- Last updated
- Mar 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD2006-0264 | NM | Yes |
Practice location
801 W. Maple St.Farmington, NM 87401
Phone 505-609-6463 · Fax 505-609-2259
Mailing address
Po Box 6210Farmington, NM 87499-6210
Phone 505-609-2258 · Fax 505-609-2259
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