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Individual

VINCENT T. CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1801 NW MARKET ST, SUITE 411, SEATTLE, WA 98107-3987
(206) 781-6072
(206) 781-6073
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
235115
MA
207Y00000X
Otolaryngology Physician
Primary
ML20007367
WA

Other

Enumeration date
08/23/2006
Last updated
02/19/2015
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