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Individual

DAVID TIT-CHIU CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
106 E LAKE MEAD PKWY, #107, HENDERSON, NV 89015-5534
(702) 616-4870
Mailing address
2377 HARDIN RIDGE DR, HENDERSON, NV 89052-7087
(702) 260-6332

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10737
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100502315
NV
Enumeration date
07/07/2006
Last updated
09/03/2010
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