Individual
KEITH C CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4045 E BELL RD, SUITE 143, PHOENIX, AZ 85032-2236
(602) 867-0404
(602) 788-0893
Mailing address
4045 E BELL RD, SUITE 143, PHOENIX, AZ 85032-2236
(602) 867-0404
(602) 788-0893
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36775
AZ
Other
Enumeration date
03/29/2007
Last updated
01/21/2011
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