Individual
SAMUEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3665 S 8400 W, MAGNA, UT 84044-4907
(801) 250-9638
Mailing address
6056 RIDGE RD, HIGHLAND, UT 84003-3611
(760) 532-4833
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14231252-1206
UT
Other
Enumeration date
11/13/2024
Last updated
07/28/2025
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