KELLY D CHAVEZ PA

ENGLISH DERMATOLOGY PC

Dr KELLY D CHAVEZ PA is a male medical professional, specializing in Physician Assistant. He graduated in 2003.

Contact

ENGLISH DERMATOLOGY PC

1729 N TREKELL RD
SUITE 124
CASA GRANDE
AZ
851222215

Tel: 5204217100

KELLY D CHAVEZ PA Information

Npi 1356329379
Pac Id 1254313927
Professional Enrollment Id I20111011000698
Last Name CHAVEZ
First Name KELLY
Middle Name D
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2003
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ENGLISH DERMATOLOGY PC
Group Practice Pac Id 4385867761
Number Of Group Practice Members 22
Line 1 Street Address 1729 N TREKELL RD
Line 2 Street Address SUITE 124
Marker Of Address Line 2 Suppression
City CASA GRANDE
State AZ
Zip Code 851222215
Phone Number 5204217100
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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