Individual
MICHAEL LEE FROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7001
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301088692
MI
Other
Enumeration date
05/02/2007
Last updated
03/04/2011
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