ALEC SPENCER CHAN

POCATELLO, ID
NPI1326779679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-06-17
Last Update Date2024-08-16
Business Address
Mr. ALEC SPENCER CHAN PA
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209-0002
Phone number: 208-282-4726
Mailing Address
Mr. ALEC SPENCER CHAN PA
2445 BUTE CLIFF TRCE
CUMMING, GA 30041-6390
Phone number: 912-996-7966