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Individual

LEE M UGOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9250 N 3RD ST, STE. 3010, PHOENIX, AZ 85020-2437
(602) 861-1168
(602) 861-1763
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 780-3752

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21873
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060042397
RAILROAD MEDICARE
AZ
05
155409
AZ
01
1Z1417
HEALTHNET
AZ
01
25-00203
UNITED HEALTHCARE
AZ
01
AZ0802410
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/27/2005
Last updated
09/18/2013
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