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Individual

DR. ROSCOE HO-KEUNG CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FRCPC

Contact information

Practice address
1100 GAIL GARDNER WAY, PRESCOTT, AZ 86305-1690
(928) 776-1040
(928) 776-1041
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
04-26168
KS
2085R0001X
Radiation Oncology Physician
14269R
LA
2085R0001X
Radiation Oncology Physician
14370
HI
2085R0001X
Radiation Oncology Physician
Primary
37785
AZ
2085R0001X
Radiation Oncology Physician
E-13744
AR
2085R0001X
Radiation Oncology Physician
K7259
TX
2085R0001X
Radiation Oncology Physician
M-1541
GU
2085R0001X
Radiation Oncology Physician
MD-054897-L
PA
2085R0001X
Radiation Oncology Physician
MD61581757
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10670
LA
05
183733001
AR
01
350534
APIPA- THRU UNITED HEALTHCARE
AZ
05
350534
AZ
01
4785874004
CIGNA
LA
01
5261570
AETNA
LA
01
P-11077417
MULTIPLAN
LA
01
P00370697
MEDICARE RAILROAD
LA
05
PO83990R9
TX
Enumeration date
07/05/2005
Last updated
01/27/2026
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