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Dr. Timothy Chan I, DPM
Foot & Ankle Surgery Podiatrist in Tacoma, Washington
NPI 1790955367

Timothy Chan I is a Foot & Ankle Surgery Podiatrist based in Tacoma, WA and is specialized in Foot & Ankle Surgery. Timothy Chan I practices in Tacoma, WA and has the professional credentials of DPM. The NPI Number for Timothy Chan I is 1790955367 and holds a License No. POD416 (Washington).

The current practice location address for Timothy Chan I is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-1110.

Location: 9040 Jackson Ave, Tacoma, WA, 98431-0001
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Provider Profile Details
NPI Number
1790955367
Provider Name
Timothy Chan I
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98431-0001
Phone Number
253-968-1110
Fax Number
Provider Enumeration Date
03/10/2008
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6364940001 01 FL PTAN
1790955367 01 FL NPI
CZ549Z 01 FL MCR
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-1954
Phone Number
253-968-1110
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-1954
Phone Number
253-968-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD416 (New Mexico)
Definition
Definition to come...
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