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Dr. Chung Chun Chan, MD
Specialist in University Place, Washington
NPI 1972547123

Chung Chun Chan is a Specialist based in University Place, WA. Chung Chun Chan practices in University Place, WA and has the professional credentials of MD. The NPI Number for Chung Chun Chan is 1972547123 and holds a License No. 12991 (Washington).

The current practice location address for Chung Chun Chan is 3526 Olympic Blvd W, University Place, WA and can be reached out via phone at 253-565-6679.

Location: 3526 Olympic Blvd W, University Place, WA, 98466-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972547123
Provider Name
Chung Chun Chan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3526 Olympic Blvd W, University Place, WA, 98466-1408
Phone Number
253-565-6679
Fax Number
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3526 Olympic Blvd W
City
University Place
State
Washington
Zip
98466-1408
Phone Number
253-565-6679
Fax Number
person
Provider Business Mailing Address Details
Address
3526 Olympic Blvd W
City
University Place
State
Washington
Zip
98466-1408
Phone Number
253-565-6679
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12991 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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