Individual
DR. LEE SHAN CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 N MEDICAL DR EAST, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
175 N MEDICAL DR E, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
8140812-1205
UT
Other
Enumeration date
04/16/2010
Last updated
11/12/2021
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