Stephanie Chien Ru Chan, MD
Emergency Medicine in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1548425259
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1548425259
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Chien Ru Chan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2008
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 14028 | NV | Yes |
| 207P00000X | Emergency Medicine | MT192559 | PA |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 702-791-9000
Mailing address
700 Shooting Star StLas Vegas, NV 89107-4356
Phone 702-423-6400
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