Individual
JOHN THOMAS CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2372 MARITIME DR, ELK GROVE, CA 95758-3639
(408) 885-5110
Mailing address
4200 DOUGLAS BLVD, GRANITE BAY, CA 95746-5902
(916) 461-4769
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A164300
CA
Other
Enumeration date
04/05/2018
Last updated
11/27/2023
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