ROSCOE H CHAN, MD, FRCPC, Radiation Oncology PRESCOTT, AZ

Contact Information

ROSCOE H CHAN, MD, FRCPC

1100 GAIL GARDNER WAY
PRESCOTT, AZ 86305-1690

Phone: 928-776-1040
Fax: 928-776-1041
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for ROSCOE H CHAN · (Male)

NPI Number	`1891792941`
Status	Active
Credentials	MD, FRCPC
Entity	Individual
Enumeration date	07/05/2005
Last updated	01/27/2026 - About 4 months ago
Sole proprietor ¹	No
Identifiers	AR License # E-13744 AZ License # 37785 GU License # M-1541 HI License # 14370 KS License # 04-26168 LA License # 14269R PA License # MD-054897-L TX License # K7259 WA License # MD61581757 AR Medicaid 183733001 AZ Medicaid 350534 LA Medicaid 10670 TX Medicaid PO83990R9 AZ Other 350534 APIPA- THRU UNITED HEALTHCARE LA Other 5261570 AETNA LA Other 4785874004 CIGNA LA Other P00370697 MEDICARE RAILROAD LA Other P-11077417 MULTIPLAN
Hospital affiliation(s)	ST EDWARD MERCY MEDICAL CENTER - (Acute Care) 7301 ROGERS AVE FORT SMITH, AR 72917 ST JOSEPHS MERCY HEALTH CENTER INC - (Acute Care) 300 WERNER STREET HOT SPRINGS, AR 71903

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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ROSCOE H CHAN, MD, FRCPC – NPI #1891792941Radiation Oncology

Contact Information

Specialty

Radiation Oncology

NPI Profile & details for ROSCOE H CHAN · (Male)

Reviews for ROSCOE H CHAN

ROSCOE H CHAN, MD, FRCPC – NPI #1891792941
Radiation Oncology