Individual
DR. ALLEN B. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
483 SEED FARM RD., SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
410 N MALACATE ST, AJO, AZ 85321-2254
(520) 387-5651
(520) 387-6036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005174
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005174
ARIZONA STATE LICENSE
AZ
Enumeration date
05/21/2008
Last updated
10/26/2015
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