| Vernon B Chavez Md Pllc | |
|
901 W 24th St Yuma AZ 85364-6384 | |
| (928) 317-9100 | |
| (928) 317-9300 |
| Full Name | Vernon B Chavez Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 W 24th St, Yuma, Arizona |
| Authorized Official Name and Position | Vernon B Chavez (OWNER) |
| Authorized Official Contact | 9283179100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon B Chavez Md Pllc Po Box 6205 Yuma AZ 85366-6205 Ph: (928) 317-9100 | Vernon B Chavez Md Pllc 901 W 24th St Yuma AZ 85364-6384 Ph: (928) 317-9100 |
| NPI Number | 1154589679 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Medicare PECOS PAC ID | 1759276553 |
|---|---|
| Medicare Enrollment ID | O20080728000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154589679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33459 (Arizona) | Primary |
| Provider Name | Vernon B Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023101052 PECOS PAC ID: 0648165449 Enrollment ID: I20050110000402 |
| Provider Name | Mary K Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477961811 PECOS PAC ID: 4688895774 Enrollment ID: I20141014000917 |
| Provider Name | Mario Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023667862 PECOS PAC ID: 9032542303 Enrollment ID: I20191129000156 |
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