Whalio Doctors

NPI 1255569638

Mark Chan, MD

Practitioner Physical Medicine & Rehabilitation Physician Boulder, CO

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
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence DR.0069232 (CO)

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.