Individual
BROOKE M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
245 S DOBSON RD, CHANDLER, AZ 85224
(480) 895-5870
(480) 895-0573
Mailing address
245 S DOBSON RD, CHANDLER, AZ 85224-6577
(480) 895-5870
(480) 895-0573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6922
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6922
ARIZONA REGULATORY BOARD OF PHYSICIANS ASSISTANTS
AZ
Enumeration date
10/25/2017
Last updated
06/14/2018
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