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Individual

DR. KWAN SEUNG LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
34680
AZ
207RI0011X
Interventional Cardiology Physician
Primary
34680
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
974479
AZ
01
P00329057
RAILROAD MEDICARE
AZ
Enumeration date
11/30/2005
Last updated
12/12/2022
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