Individual
OSCAR CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1769
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1769
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101235986
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000192173806
UNITED
VA
05
—
1598781825
—
VA
01
—
177758
ANTHEM
VA
01
—
2136538
MAMSI
VA
01
—
342277
ANTHEM BLUE CROSS TCH
VA
01
—
3734291
AETNA HMO
VA
05
—
3810011445
—
WV
01
—
7154630
AETNA PPO
VA
01
—
K332
BCBS PPO
VA
Enumeration date
07/13/2006
Last updated
02/08/2023
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