Individual
DR. BRYAN S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19636 N 27TH AVE STE 203, PHOENIX, AZ 85027-4022
(623) 562-5050
(623) 562-5051
Mailing address
2910 N 3RD AVE # 200, PHOENIX, AZ 85013-4434
(623) 562-5050
(623) 562-5051
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
57982
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504576
—
AZ
Enumeration date
04/06/2012
Last updated
02/02/2024
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