DR. Chung Chun Chan, M.D.

NPI #1972547123 in University Place, Washington

Provider Information

NPI Number: 1972547123
Entity Type: Individual
Name: DR. Chung Chun Chan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jun 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3526 OLYMPIC BLVD W
City: University Place
State: Washington
ZIP Code: 98466-1408
Phone: (253) 565-6679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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