Individual
RICHARD CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1 WYOMING ST STE 3027A, DAYTON, OH 45409-2722
(937) 208-6173
Mailing address
1141 N LOOP 1604 E # 105-446, SAN ANTONIO, TX 78232-1339
(210) 598-2800
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
367H00000X
Anesthesiologist Assistant
Primary
67.000530
OH
Other
Enumeration date
03/29/2021
Last updated
01/14/2025
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