Healthcare Provider Details

I. General information

NPI: 1487234266
Provider Name (Legal Business Name): CHRIS LEE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 E RIVER RD
TUCSON AZ
85718-6522
US

IV. Provider business mailing address

2956 N PALO VERDE AVE
TUCSON AZ
85716-2054
US

V. Phone/Fax

Practice location:
  • Phone: 520-795-7750
  • Fax:
Mailing address:
  • Phone: 909-582-9476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number012552
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number125.085163
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: