Individual
MR. CHIN CHANG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6750 E BAYWOOD AVE STE 301, MESA, AZ 85206-1749
(480) 835-6100
Mailing address
6343 E MAIN ST STE 12, MESA, AZ 85205-8955
(480) 835-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A127470
CA
207RC0000X
Cardiovascular Disease Physician
A127470
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
62493
AZ
Other
Enumeration date
04/16/2012
Last updated
07/01/2022
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