Individual
MICHAEL C CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3630
Mailing address
6109 LONESOME CACTUS ST, LAS VEGAS, NV 89130-1054
(702) 804-1822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0860
NV
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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