Individual
DR. MARK Y CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 EAST 2ND STREET, REGIONAL MEDICAL FACILITY, OGALLALA, NE 69153-3421
(308) 284-9838
(308) 284-4120
Mailing address
333 EAST 2ND STREET, REGIONAL MEDICAL FACILITY, OGALLALA, NE 69153
(308) 284-9838
(308) 284-4120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21559
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470767637-13
—
NE
Enumeration date
03/08/2006
Last updated
09/08/2008
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