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Mary Ann Chavez Do
Health Service Clinic/Center in Sullivan, Indiana
NPI 1821360298

Mary Ann Chavez Do is a Health Service Clinic/Center based in Sullivan, IN and is specialized in Health Service. Mary Ann Chavez Do practices in Sullivan, IN. The NPI Number for Mary Ann Chavez Do is 1821360298 and holds a License No. 02002313A (Indiana).

The current practice location address for Mary Ann Chavez Do is 1120 N Section St, Sullivan, IN and can be reached out via phone at 812-268-3901 and via fax at 812-268-0674.

Location: 1120 N Section St, Sullivan, IN, 47882-9200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821360298
Provider Name
Mary Ann Chavez Do
Credential
Provider Entity Type
Organization
Address
1120 N Section St, Sullivan, IN, 47882-9200
Phone Number
812-268-3901
Fax Number
812-268-0674
Provider Enumeration Date
02/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200343440 05 IN
institution
Provider Business Practice Location Address Details
Address
1120 N Section St
City
Sullivan
State
Indiana
Zip
47882-9200
Phone Number
812-268-3901
Fax Number
812-268-0674
person
Provider Business Mailing Address Details
Address
1120 N Section St
City
Sullivan
State
Indiana
Zip
47882-9200
Phone Number
812-268-3901
Fax Number
812-268-0674
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
02002313A (Indiana)
Definition
Definition to come...
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