Provider Demographics
NPI:1033126883
Name:CHAFFIN, DAVID B (MD)
Entity Type:Individual
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First Name:DAVID
Middle Name:B
Last Name:CHAFFIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5420 KIETZKE LN
Mailing Address - Street 2:STE 103
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2063
Mailing Address - Country:US
Mailing Address - Phone:775-329-2300
Mailing Address - Fax:775-329-5514
Practice Address - Street 1:5420 KIETZKE LN
Practice Address - Street 2:STE 103
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2063
Practice Address - Country:US
Practice Address - Phone:775-329-2300
Practice Address - Fax:775-329-5514
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2008-03-13
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Provider Licenses
StateLicense IDTaxonomies
NVNV7135207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2016568Medicaid
NV2016568Medicaid
NVV105215Medicare PIN