Individual
AMBER CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 W BASELINE RD, TEMPE, AZ 85283-1040
(602) 437-0097
Mailing address
2420 W BASELINE RD, TEMPE, AZ 85283-1040
(602) 437-0097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9719
AZ
363AS0400X
Surgical Physician Assistant
9719
AZ
Other
Enumeration date
04/11/2023
Last updated
09/04/2024
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