Individual
CELIA L CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1723 BROADWAY ST, SUITE 315, CAPE GIRARDEAU, MO 63701-4566
(573) 331-6476
(573) 331-6526
Mailing address
PO BOX 503837, SAINT LOUIS, MO 63150-0001
(573) 331-6880
(573) 331-6887
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
106745
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106745
MISSOURI LICENSE
MO
Enumeration date
10/21/2008
Last updated
10/28/2008
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