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Organization
WILLIAM HENRY CHAN M D PROFESSIONAL CORP.
Active
Organization
WILLIAM HENRY CHAN M D PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HENRY CHAN M D (PRESIDENT)
(916) 421-1772
Entity
Organization
Contact information
Practice address
5525 ASSEMBLY CT, BLDG C, SACRAMENTO, CA 95823-2634
(916) 421-1772
Mailing address
5525 ASSEMBLY CT, BLDG. C, SACRAMENTO, CA 95823-2634
(916) 421-1772
(916) 421-0635
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A20775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A207750
PTAN
—
Enumeration date
07/21/2010
Last updated
07/22/2010
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