Individual
DR. MARK CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 MESA DR, BOULDER, CO 80304-3621
(872) 231-3162
(702) 977-1496
Mailing address
757 KOHLOR DR, LAFAYETTE, CO 80026-2688
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DR.0069232
CO
Other
Enumeration date
06/24/2009
Last updated
10/08/2025
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