Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | NV7135 | NV |
NPI | 1033126883 |
---|---|
Provider Name | David B Chaffin |
First Address | Reno, NV 89511-2063 |
Second Address | Reno, NV 89511-2063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 13/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2016568 | (05) | NV |
F81455 | (02) |