| Doctor Name: | ANTHONY C CHAVIS |
| NPI Number: | 1073771069 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.T. (T) |
| License Number: | 84497 |
| Business Practice Address: | 10767 Jamacha Blvd Space 197 Spring Valley, CA - 919781829 |
| Business Phone Number: | 6199371164 |
| Business Fax Number: | |
| Mailing Address: | 10767 Jamacha Blvd, Space 197 SPRING VALLEY |
| State: | CA |
| Postal Code: | 919781829 |
| Phone Number: | 6199371164 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2008 |
| NPI Last Update Date: | 05/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471R0002X |
| License Number: | 84497 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiation Therapy |
| Taxonomy Definition: | |