Matthew Antonio Chavez
Matthew Antonio Chavez is an Athletic Trainer in Albuquerque, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Partly verified
University Of New MexicoAlbuquerque, NM 87131-0001
Phone: (505) 888-3115
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1174290563 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 24, 2021 |
| Last updated in NPPES | August 24, 2021 |
| Certification date | August 24, 2021 |
| Mailing address | 1710 Helena Dr, Gallup, NM 87301-5610 |
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