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Organization

ESTELA L CHAN MD CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ESTELA L CHAN M.D. (OWNER)
(402) 746-3646
Entity
Organization

Contact information

Practice address
145 W 3RD AVENUE, RED CLOUD, NE 68970-2542
(402) 746-3646
(402) 746-3519
Mailing address
145 W 3RD AVE, RED CLOUD, NE 68970-2542
(402) 746-3646
(402) 746-3519

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
14917
NE

Other

Enumeration date
07/11/2008
Last updated
07/11/2008
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