NPI 1255569638
Mark Chan, MD
Practice location
- Address
- 2121 Mesa Dr, Boulder, CO 80304-3621
- Phone
- (872) 231-3162
- Fax
- (702) 977-1496
- Mailing address
- 757 Kohlor Dr, Lafayette, CO 80026-2688
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1255569638
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jun 2009
- Record last updated
- 8 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.