Individual
DR. CHUNG CHUN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3526 OLYMPIC BLVD W, UNIVERSITY PLACE, WA 98466-1408
(253) 565-6679
Mailing address
3526 OLYMPIC BLVD W, UNIVERSITY PLACE, WA 98466-1408
(253) 565-6679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12991
WA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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