Individual
DR. JEFFREY D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
822 E MAIN ST, SUITE 7, GRANTSVILLE, UT 84029-9577
(435) 884-3578
Mailing address
1084 DAVENPORT DR, GRANTSVILLE, UT 84029-9006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2765311205
UT
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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