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Individual

JUSTINE KIT CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
240 W THOMAS RD STE 301, PHOENIX, AZ 85013-4407
(602) 406-6262
Mailing address
240 W THOMAS RD STE 301, PHOENIX, AZ 85013-4407
(602) 406-6262

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
57421
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/01/2015
Last updated
07/03/2021
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