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Individual

PETER Y LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13640 N PLAZA DEL RIO BLVD, STE 230, PEORIA, AZ 85381-4846
(623) 876-3810
(623) 876-3862
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 972-9590

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
28340
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060060798
RAILROAD MEDICARE PIN
AZ
05
539984
AZ
Enumeration date
05/10/2006
Last updated
07/02/2010
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