MEDICARE: DR. DAVID ANTHONY CHAVEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DR.0037131	CO

General Provider Information

NPI Number	:	1578649521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ANTHONY CHAVEZ M.D.

Provider Business Mailing Address
First Line	:	1606 PRAIRIE CENTER PKWY STE 310
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-4004
Country	:	US
Telephone Number	:	303-659-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1606 PRAIRIE CENTER PKWY STE 310
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-4004
Country	:	US
Telephone Number	:	303-659-5800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	08/15/2022

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