J. Jack Chan, D.O.

NPI #1053314245 in Athens, Ohio

Provider Information

NPI Number: 1053314245
Entity Type: Individual
Name: J. Jack Chan, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: D.O.
Enumeration Date: May 23, 2005
Last Updated: May 19, 2009

Practice Location

Address: 86 COLUMBUS RD
Address 2: STE 203
City: Athens
State: Ohio
ZIP Code: 45701-1331
Phone: (740) 594-2624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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