Provider Demographics
NPI:1184866287
Name:CHAN, FRANCISCO N (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:N
Last Name:CHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:322 E BROWN RD STE 103
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-3563
Mailing Address - Country:US
Mailing Address - Phone:480-964-3013
Mailing Address - Fax:480-964-1644
Practice Address - Street 1:322 E BROWN RD STE 103
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-3563
Practice Address - Country:US
Practice Address - Phone:480-964-3013
Practice Address - Fax:480-964-1644
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32294208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology