Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 32373 | AZ |
NPI | 1184689416 |
---|---|
Provider Name | Dr. Anthony A Lee |
First Address | Scottsdale, AZ 85258 |
Second Address | Scottsdale, AZ 85258 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 24/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I03824 | (02) | AZ |