Individual
CHRISTIAN NICHOLAS CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 SHADOW LN, LAS VEGAS, NV 89102-2314
(702) 383-4040
Mailing address
1111 SHADOW LN, LAS VEGAS, NV 89102-2314
(702) 383-4040
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A175539
CA
Other
Enumeration date
04/11/2017
Last updated
06/05/2023
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