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NPI Code Detail

MEDICARE: DR. DUKE T LEE MD

MEDICARE: DR. DUKE T LEE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician33266AZ
2208M00000XHospitalist Physician33266AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
133266OTHERAZMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306810338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUKE T LEE MD
Provider Business Mailing Address
First Line : 25068 N 114TH ST
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-8295
Country : US
Telephone Number : 480-585-2311
Fax Number :
Provider Business Practice Location Address
First Line : 5555 W THUNDERBIRD RD
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-4622
Country : US
Telephone Number : 602-865-2627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 01/25/2011

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