Provider Demographics
NPI:1417480757
Name:CHAVEZ, MARIN ALAINA (MD)
Entity Type:Individual
Prefix:
First Name:MARIN
Middle Name:ALAINA
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10410 N CAVE CREEK RD UNIT 1115
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-1656
Mailing Address - Country:US
Mailing Address - Phone:602-616-0960
Mailing Address - Fax:
Practice Address - Street 1:350 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4409
Practice Address - Country:US
Practice Address - Phone:602-406-4440
Practice Address - Fax:602-406-2335
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program