| NPI | 1942762000 |
|---|---|
| Other Name | BRYAN CHAVEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7625) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 7625) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2021-07-07 |