Individual
MICHAEL CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3302 W THOMAS RD, SUITE 3, PHOENIX, AZ 85017-5605
(602) 269-3210
Mailing address
3302 W THOMAS RD, SUITE 3, PHOENIX, AZ 85017-5605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4130
AZ
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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