Tony Chan, PA-C

NPI #1689910036 in Lehigh Acres, Florida

Provider Information

NPI Number: 1689910036
Entity Type: Individual
Name: Tony Chan, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 12, 2012
Last Updated: Dec 12, 2012

Practice Location

Address: 1500 LEE BLVD
City: Lehigh Acres
State: Florida
ZIP Code: 33936-4835
Phone: (800) 507-8874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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